Dr Paul M Clark Jr, DDS - Dentist in Shreveport, LA

Dr Paul M Clark Jr, DDS is a Dentist - Oral And Maxillofacial Pathology based in Shreveport, Louisiana. Dr Paul M Clark Jr is licensed to practice in Louisiana (license number 2432) and his current practice location is 2120 Bert Kouns Industrial Loop, Suite D, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 687-9800.

NPI number for Dr Paul M Clark Jr is 1386758936 and his current mailing address is 2120 Bert Kouns Industrial Loop, Suite D, Shreveport, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386758936.

Contact Information

Dr Paul M Clark Jr, DDS
2120 Bert Kouns Industrial Loop, Suite D,
Shreveport, LA 71118-3351
(318) 687-9800
(318) 687-4752

Map and Direction




Healthcare Provider's Profile

Full NameDr Paul M Clark Jr
GenderMale
SpecialityDentist - Oral And Maxillofacial Pathology
Location2120 Bert Kouns Industrial Loop, Shreveport, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386758936
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Paul M Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386758936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0106XDentist - Oral And Maxillofacial Pathology 2432 (Louisiana)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 Paul M 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 AddressPractice Location Address
Dr Paul M Clark Jr, DDS
2120 Bert Kouns Industrial Loop, Suite D,
Shreveport, LA 71118-3351

Ph: (318) 687-9800
Dr Paul M Clark Jr, DDS
2120 Bert Kouns Industrial Loop, Suite D,
Shreveport, LA 71118-3351

Ph: (318) 687-9800

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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