Dr. Theodore Glenn Clark is a Winston Salem, North Carolina 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. Theodore Glenn Clark is 6127 for Dentistry in North Carolina. His current practice location is 3165 Maplewood Avenue, Winston Salem. Patients can reach him at 336-765-8358.
Dr. Theodore Glenn 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. Theodore Glenn 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. Theodore Glenn Clark
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
3165 Maplewood Avenue, Winston Salem, North Carolina, 27103
Phone:
336-765-8358
Fax:
336-774-1063
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:
1144321936
NPI Enumeration Date:
26 Sep, 2006
NPI Last Update On:
08 Jul, 2007
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. Theodore Glenn Clark are as mentioned below.
License Number
Specialization
State
Status
6127
Dentistry
North Carolina
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3165 Maplewood Avenue, Winston-salem, North Carolina
Zip:
27103
Phone Number:
336-765-8358
Fax Number:
336-774-1063
Patients can reach Dr. Theodore Glenn Clark at 3165 Maplewood Avenue, Winston Salem, North Carolina or can call to book an appointment on 336-765-8358. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.