Robert S. Clark
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2533 Larkin Rd Suite 101
Lexington
, Kentucky 40503-3278
Robert S. Clark
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2533 Larkin Rd Suite 101
Lexington
, Kentucky 40503-3278
(859) 276-0260
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Robert S. Clark
- 2533 Larkin Rd Suite 101
- Lexington, KY
- Zip : 40503-3278
- Fax : (859) 276-0260
- Phone : (859) 278-9376
Second Address
- Robert S. Clark
- 2533 Larkin Rd Suite 101
- Lexington, KY
- Zip : 40503-3278
- Fax : (859) 276-0260
- Phone : (859) 278-9376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 6624 | KY |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 6624 | KY |
National Provider Identifier
| NPI | 1215962394 |
|---|---|
| Provider Name | Robert S. Clark |
| First Address | Lexington, KY 40503-3278 |
| Second Address | Lexington, KY 40503-3278 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 08/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 60066248 | (05) | KY |
| 64066244 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.