NPI 1215962394

Robert S. Clark, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Lexington, KY

Practice location

Address: 2533 Larkin Rd Suite 101, Lexington, KY 40503-3278
Phone: (859) 278-9376
Fax: (859) 276-0260

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 6624 (KY)

Other Oral & Maxillofacial Surgery providers in Kentucky →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 6624 (KY)

Other Dentist providers in Kentucky →

Registry record

NPI: 1215962394
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2006
Record last updated: 8 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.