Jack R. Clark, DMD

General Practice Dentistry · Homewood, AL

Individual Active NPI

NPI number 1083840342

Practice location

1856 Lancaster Rd
Homewood, AL 35209-4114
Phone
(205) 871-2591
Fax
(205) 879-1900

Open in Google Maps

NPI record

NPI
1083840342
Entity type
Individual (Type 1)
Enumeration date
June 1, 2009
Last updated
June 1, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4290 AL

About Dr. Clark

Jack R. Clark, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1856 Lancaster Rd, Homewood, AL 35209-4114. The NPI number 1083840342 was assigned on June 1, 2009 and the record was last updated on June 1, 2009.

Dr. Clark lists a license in the registry: #4290 (AL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack R. Clark, DMD?

The NPI number is 1083840342.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (205) 871-2591.

Where is Dr. Clark located?

1856 Lancaster Rd, Homewood, AL 35209-4114.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Homewood

All General Practice Dentistry providers in Homewood, AL →