ALEXANDER CLARK, DDS

Dentist · PRAIRIE VILLAGE, KS

Individual Active Opted out of Medicare NPI 1265882104

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X61486KS
General Practice Dentistry1223G0001X2016001210MO

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2017-12-14 through 2027-12-14.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.