Robert S. Clark, DMD

NPI #1215962394 in Lexington, Kentucky

Provider Information

NPI Number: 1215962394
Entity Type: Individual
Name: Robert S. Clark, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DMD
Enumeration Date: Jul 11, 2006
Last Updated: Feb 8, 2016

Practice Location

Address: 2533 LARKIN RD
Address 2: SUITE 101
City: Lexington
State: Kentucky
ZIP Code: 40503-3278
Phone: (859) 278-9376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Oral & Maxillofacial Surgery	204E00000X	Primary

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