| Dr Edford Leon Clark Jr, DMD | |
|
415 North Lake Drive, Ste 201, Prestonsburg, KY 41653 | |
| (606) 886-4260 | |
| (606) 886-0886 |
| Full Name | Dr Edford Leon Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 415 North Lake Drive, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710927785 | NPI | - | NPPES |
| 66083861 | Other | BCBS OF AL | |
| 322610 | Other | TIEGEN BCBS | |
| 3147483 | Other | BCBS OF TN | |
| 401559 | Other | UNITED CONCORDIA | |
| 6005L905 | Medicaid | KY | |
| 143184 | Other | VA | BCBS OF VA |
| E914 | Other | FEDERAL BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5490 (Kentucky) | Primary |
| 1223G0001X | Dentist - General Practice | 5490 (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edford Leon Clark Jr, DMD 415 North Lake Drive, Ste 201, Prestonsburg, KY 41653 Ph: (606) 886-4260 | Dr Edford Leon Clark Jr, DMD 415 North Lake Drive, Ste 201, Prestonsburg, KY 41653 Ph: (606) 886-4260 |
Dr. James R. Stambaugh, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653 Phone: 606-886-8546 | |
Dr. Brian Wallace, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 781 S Lake Dr, Suite 1, Prestonsburg, KY 41653 Phone: 606-886-2676 Fax: 606-886-2741 | |
Dr. Robert Keith Leslie, DMD Dentist Medicare: Medicare Enrolled Practice Location: 400 University Dr, Prestonsburg, KY 41653 Phone: 606-886-2010 | |
Dr. Bill Francis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 781 S Lake Dr, Suite 1, Prestonsburg, KY 41653 Phone: 606-886-2676 Fax: 606-886-2741 | |
Dr. Anita Hale, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4807 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-8400 Fax: 606-886-8471 | |
Dr. Demetra Francis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 781 S Lake Dr, Suite 1, Prestonsburg, KY 41653 Phone: 606-886-2676 Fax: 606-886-2741 | |
Dr. Robert Bradley Herrick, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 S Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-1095 Fax: 606-886-0221 |