Mr. Dale Woodall Clark is a Russellville, 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 Mr. Dale Woodall Clark is
5933 for Dentistry in Kentucky. His current practice location is
204 East Fourth St, Russellville. Patients can reach him at
270-726-7511.
Mr. Dale Woodall 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:
Mr. Dale Woodall 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: | Mr. Dale Woodall Clark |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 204 East Fourth St, Russellville,
Kentucky, 42276 |
| Phone: | 270-726-7511 |
| Fax: | 270-726-6831 |
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: | 1144339177 |
| NPI Enumeration Date: | 30 Aug, 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 Mr. Dale Woodall Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 5933 | Dentistry | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Dale Woodall Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 60059334 | Medicaid | Kentucky | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 204 East Fourth St,
Russellville, Kentucky |
| Zip: | 42276 |
| Phone Number: | 270-726-7511 |
| Fax Number: | 270-726-6831 |
Patients can reach Mr. Dale Woodall Clark at
204 East Fourth St, Russellville, Kentucky or can
call to book an appointment on 270-726-7511.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.