DR. Jack R Clark, DMD

NPI #1083840342 in Homewood, Alabama

Provider Information

NPI Number: 1083840342
Entity Type: Individual
Name: DR. Jack R Clark, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 1856 LANCASTER RD
City: Homewood
State: Alabama
ZIP Code: 35209-4114
Phone: (205) 871-2591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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