person
Dr. Randolph Lynn Clark, DDS
General Practice Dentistry in Edmond, Oklahoma
NPI 1649347097

Randolph Lynn Clark is a General Practice Dentistry based in Edmond, OK and is specialized in General Practice. Randolph Lynn Clark practices in Edmond, OK and has the professional credentials of DDS. The NPI Number for Randolph Lynn Clark is 1649347097 and holds a License No. OK4992 (Oklahoma).

The current practice location address for Randolph Lynn Clark is 301 S Boulevard St, Edmond, OK and can be reached out via phone at 405-348-9182 and via fax at 405-330-1677.

Location: 301 S Boulevard St, Edmond, OK, 73034-3878
person
Provider Profile Details
NPI Number
1649347097
Provider Name
Randolph Lynn Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
301 S Boulevard St, Edmond, OK, 73034-3878
Phone Number
405-348-9182
Fax Number
405-330-1677
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73-137-9303 01 OK FEDERAL TAX I.D
institution
Provider Business Practice Location Address Details
Address
301 S Boulevard St
City
State
Zip
73034-3878
Phone Number
405-348-9182
Fax Number
405-330-1677
person
Provider Business Mailing Address Details
Address
301 S Boulevard St
City
State
Zip
73034-3878
Phone Number
405-348-9182
Fax Number
405-330-1677
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
OK4992 (Oklahoma)
Definition
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.
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