| Dr Shannon Carol Clark, DDS | |
|
2002 S Rouse St, Pittsburg, KS 66762-6629 | |
| (620) 231-2871 | |
| Not Available |
| Full Name | Dr Shannon Carol Clark |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 2002 S Rouse St, Pittsburg, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922273481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3142 (Arkansas) | Secondary |
| 122300000X | Dentist | 2020005163 (Missouri) | Secondary |
| 122300000X | Dentist | 62065 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Carol Clark, DDS 125 E Presidential Dr, Suite A, Lowell, AR 72745-9608 Ph: (479) 770-6400 | Dr Shannon Carol Clark, DDS 2002 S Rouse St, Pittsburg, KS 66762-6629 Ph: (620) 231-2871 |
Dr. John Fasbinder, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 620-231-5062 | |
Robert L Couch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 620-231-5062 | |
Cody Shawn Groll, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 202-319-8736 Fax: 620-231-5062 | |
Timothy P Crawford, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 924 N Broadway St, Pittsburg, KS 66762 Phone: 620-231-6788 Fax: 620-231-2331 | |
Dr. Eric Youvan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 302 E 4th St, Suite E, Pittsburg, KS 66762 Phone: 620-231-6969 Fax: 620-231-8018 | |
Dr. Albert Mendez, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1510 N Broadway St, Pittsburg, KS 66762 Phone: 620-231-6070 | |
David Doshier Russell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 924 N Broadway St, Pittsburg, KS 66762 Phone: 620-231-6788 Fax: 620-231-2331 |