Dakota B Clark Dmd LLC

NPI #1972101426 in Jacksonville, Alabama

Provider Information

NPI Number: 1972101426
Entity Type: Organization
Organization Name: Dakota B Clark Dmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 1450 1ST AVE SW
City: Jacksonville
State: Alabama
ZIP Code: 36265-3329
Phone: (256) 435-2007

Authorized Official

Name: DR. DAKOTA B CLARK, DMD
Title: OWNER
Phone: (256) 435-2007

Specialties & Taxonomy Codes

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

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Individual Providers

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DR. Bruce Edward Cunningham, DMD	Dentist - General Practice	Jacksonville	AI Deep Dive
DR. Dakota B Clark, DMD	Dentist - General Practice	Jacksonville	AI Deep Dive

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