| R Joseph Clark Dds Pc | |
|
500 N Chestnut St Seymour IN 47274 | |
| (812) 522-7360 | |
| Not Available |
| Full Name | R Joseph Clark Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 500 N Chestnut St, Seymour, Indiana |
| Authorized Official Name and Position | R Joseph Clark (PRESIDENT) |
| Authorized Official Contact | 8125227360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Joseph Clark Dds Pc Po Box 684 Seymour IN 47274 Ph: (812) 522-7360 | R Joseph Clark Dds Pc 500 N Chestnut St Seymour IN 47274 Ph: (812) 522-7360 |
| NPI Number | 1760524342 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760524342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12005390A (Indiana) | Primary |
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