| Dr Jay F Clark, DDS | |
|
7455 Erie Rd, Lake Shore Prof Bldg, Derby, NY 14047-9305 | |
| (716) 947-4308 | |
| Not Available |
| Full Name | Dr Jay F Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 7455 Erie Rd, Derby, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427241058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 035871 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay F Clark, DDS 7455 Erie Rd, P.o. Box 417, Derby, NY 14047-9305 Ph: (716) 947-4308 | Dr Jay F Clark, DDS 7455 Erie Rd, Lake Shore Prof Bldg, Derby, NY 14047-9305 Ph: (716) 947-4308 |
Ms. Janet Lee. Pope, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6878 Erie Road, Suite 5, Derby, NY 14047 Phone: 716-947-4652 Fax: 716-947-5758 | |
Mr. J Douglas Schumer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6878 Erie Road, Suite 5, Derby, NY 14047 Phone: 716-947-4652 Fax: 716-947-5758 |