| Dr Clark G Dawson, DDS | |
|
31 W 155th St, Harvey, IL 60426-3556 | |
| (708) 596-5177 | |
| (708) 596-5518 |
| Full Name | Dr Clark G Dawson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 31 W 155th St, Harvey, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295805380 | NPI | - | NPPES |
| 019022252 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019022252 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clark G Dawson, DDS 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 | Dr Clark G Dawson, DDS 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 |
Dr. Shandra Lolita Bundy-smith, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 | |
Dr. Roslyn Travis-stratton, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 | |
Dr. Craig Irvine, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 | |
Dr. Alisha Patel, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 |