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Search › Alabama › General Practice Dentistry

Jack Clark, DMD

NPI 1083840342 · on the registry since 2009 · sole proprietor

Practice

Address
1856 Lancaster Rd
Homewood, AL 35209
Phone
(205) 871-2591
Fax
(205) 879-1900
Organisation at this address
Wortham Dental
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama