Search › Alabama › 1223G0001X
Dakota Clark, DMD
NPI 1417449349 · on the registry since 2018
Practice
- Address
- 1450 1st Ave Sw
Jacksonville, AL 36265 - Phone
- (256) 435-2007
- Fax
- (256) 435-4669
- Organisation at this address
- Dakota B Clark Dmd Llc
Bruce E. Cunningham, Dmd PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 76 County Road 64, Woodland, AL
- 1695 Golden Springs Rd, Anniston, AL
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-15
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