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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.