Dr. Randolph Lynn Clark is a Edmond, Oklahoma based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Randolph Lynn Clark is OK4992 for General Practice Dentistry in Oklahoma. His current practice location is 301 S Boulevard St, Suite 118, Edmond. Patients can reach him at 405-348-9182.
Dr. Randolph Lynn Clark 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. Randolph Lynn Clark 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. Randolph Lynn Clark
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
301 S Boulevard St, Suite 118, Edmond, Oklahoma, 73034-3878
Phone:
405-348-9182
Fax:
405-330-1677
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:
1649347097
NPI Enumeration Date:
29 Nov, 2006
NPI Last Update On:
26 Dec, 2008
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. Randolph Lynn Clark are as mentioned below.
License Number
Specialization
State
Status
OK4992
General Practice Dentistry
Oklahoma
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Randolph Lynn Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
73-137-9303
Other
Oklahoma
FEDERAL TAX I.D
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
301 S Boulevard St, Suite 118 Edmond, Oklahoma
Zip:
73034-3878
Phone Number:
405-348-9182
Fax Number:
405-330-1677
Patients can reach Dr. Randolph Lynn Clark at 301 S Boulevard St, Suite 118, Edmond, Oklahoma or can call to book an appointment on 405-348-9182. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.