Search › Kentucky › 1223G0001X
Jacob Clark, DMD
NPI 1568956621 · on the registry since 2018
Practice
- Address
- 203 S Cherry St
Greenville, KY 42345 - Phone
- (270) 338-0606
- Fax
- (270) 338-0617
- Organisation at this address
- Mary Webb Brown Dmd, Psc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-21
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 Kentucky