Dr Chester Van Clark Jr, DDS, MPH is a
Dentist - General Practice based in Amity, Arkansas. Dr Chester Van Clark Jr is licensed to practice in Arkansas (license number AR2228) and his current practice location is
439 E Thompson St, Amity, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 342-5265.
NPI number for Dr Chester Van Clark Jr is 1750653127 and his current mailing address is 439 E Thompson St, Amity, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750653127.
Healthcare Provider's Profile
| Full Name | Dr Chester Van Clark Jr |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 439 E Thompson St, Amity, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750653127
- Provider Enumeration Date: 02/01/2012
- Last Update Date: 02/01/2012
Medical Identifiers
Medical identifiers for Dr Chester Van Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750653127 | NPI | - | NPPES |
| 101460608 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | AR2228 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chester Van Clark Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Chester Van Clark Jr, DDS, MPH 439 E Thompson St, Amity, AR 71921-8602 Ph: (870) 342-5265 | Dr Chester Van Clark Jr, DDS, MPH 439 E Thompson St, Amity, AR 71921-8602 Ph: (870) 342-5265 |
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