| Mr Dale Woodall Clark, DMD | |
|
204 East Fourth St, Russellville, KY 42276 | |
| (270) 726-7511 | |
| (270) 726-6831 |
| Full Name | Mr Dale Woodall Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 204 East Fourth St, Russellville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144339177 | NPI | - | NPPES |
| 60059334 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5933 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dale Woodall Clark, DMD 204 East Fourth St, Russellville, KY 42276 Ph: (270) 726-7511 | Mr Dale Woodall Clark, DMD 204 East Fourth St, Russellville, KY 42276 Ph: (270) 726-7511 |
Mr. Robert Ellis Allison, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 248 East 5th Street, Russellville, KY 42276 Phone: 270-726-2274 Fax: 270-726-8825 | |
Dr. Patrick Anderson Kirkpatrick, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 981 Franklin Rd, Russellville, KY 42276 Phone: 270-725-8420 | |
Dr. Michelle R Ham, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 204 Market Sq, Russellville, KY 42276 Phone: 270-726-6490 Fax: 270-726-6894 | |
William Franklin Ham, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 204 Market Sq, Po Bo 1721, Russellville, KY 42276 Phone: 270-726-6490 |