DR. CHESTER V. CLARK JR. D.D.S. M.P.H. P.C. NPI 1962574327

NPI Information

DR. CHESTER V. CLARK, JR. D.D.S., M.P.H., P.C. is a general practice dentist in Amity, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. CHESTER V. CLARK, JR. D.D.S., M.P.H., P.C. NPI is 1962574327. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Amity Gentle Dental.

The provider's business location address is:

439 E THOMPSON ST
AMITY, AR
ZIP 71921-602
Phone: (870) 342-5265
Fax: (870) 342-6292

The provider's authorized official is Chester V Clark .
The authorized official title is President and has the following contact phone number (870) 342-5265.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 1/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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