DR. Thomas Jaggers Clark, DMD

NPI #1134236359 in Crestwood, Kentucky

Provider Information

NPI Number: 1134236359
Entity Type: Individual
Name: DR. Thomas Jaggers Clark, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 24, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 5805 W HIGHWAY 22
City: Crestwood
State: Kentucky
ZIP Code: 40014-7244
Phone: (502) 241-7116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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