Clark, Robert S.

Clark, Robert S. is an individual health care provider with primary practice located at 2533 Larkin Rd Suite 101, Lexington KY 40503-3278. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Clark, Robert S. can be contacted via phone (859) 278-9376.

Contact Information

Primary practice address
2533 Larkin Rd Suite 101 Lexington KY 40503-3278
Phone: (859) 278-9376
Fax: (859) 276-0260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6624 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 6624 Kentucky

Profile Details

NPI number 1215962394
LBN Legal business name Clark, Robert S.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215962394 NPPES
Kentucky MEDICAID 64066244
Kentucky MEDICAID 60066248

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