ALEXANDER CLARK, DDS
Dentist · PRAIRIE VILLAGE, KS
Individual Active Opted out of Medicare NPI 1265882104
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist | 122300000X | ✓ | 61486 | KS |
| General Practice Dentistry | 1223G0001X | 2016001210 | MO |
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.
Other Dentist providers in Kansas
- NPI 1346446010
- NPI 1073124350
- NPI 1790117448
- NPI 1295358331
- NPI 1982731543
- NPI 1124538608
- NPI 1912347162
- NPI 1205040144
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.