Dr. Edford Leon Clark Jr. is a Prestonsburg, Kentucky based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Edford Leon Clark Jr. is 5490 for Dentistry in Kentucky. His current practice location is 415 North Lake Drive, Ste 201, Prestonsburg. Patients can reach him at 606-886-4260.
Dr. Edford Leon Clark Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Edford Leon Clark Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Edford Leon Clark Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
415 North Lake Drive, Ste 201, Prestonsburg, Kentucky, 41653
Phone:
606-886-4260
Fax:
606-886-0886
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710927785
NPI Enumeration Date:
07 Jun, 2006
NPI Last Update On:
10 Dec, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edford Leon Clark Jr. are as mentioned below.
License Number
Specialization
State
Status
5490
Dentistry
Kentucky
Primary
5490
General Practice Dentistry
Kentucky
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edford Leon Clark Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
66083861
Other
BCBS OF AL
322610
Other
TIEGEN BCBS
3147483
Other
BCBS OF TN
401559
Other
UNITED CONCORDIA
6005L905
Medicaid
Kentucky
143184
Other
Virginia
BCBS OF VA
E914
Other
FEDERAL BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
415 North Lake Drive, Ste 201 Prestonsburg, Kentucky
Zip:
41653
Phone Number:
606-886-4260
Fax Number:
606-886-0886
Patients can reach Dr. Edford Leon Clark Jr. at 415 North Lake Drive, Ste 201, Prestonsburg, Kentucky or can call to book an appointment on 606-886-4260. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.