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Dr. Edford Leon Clark JR., DMD
General Practice Dentistry in Prestonsburg, Kentucky
NPI 1710927785

Edford Leon Clark JR. is a General Practice Dentistry based in Prestonsburg, KY and is specialized in General Practice. Edford Leon Clark JR. practices in Prestonsburg, KY and has the professional credentials of DMD. The NPI Number for Edford Leon Clark JR. is 1710927785 and holds a License No. 5490 (Kentucky).

The current practice location address for Edford Leon Clark JR. is 415 North Lake Drive, Prestonsburg, KY and can be reached out via phone at 606-886-4260 and via fax at 606-886-0886.

Location: 415 North Lake Drive, Prestonsburg, KY, 41653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710927785
Provider Name
Edford Leon Clark JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
415 North Lake Drive, Prestonsburg, KY, 41653
Phone Number
606-886-4260
Fax Number
606-886-0886
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
66083861 01 BCBS OF AL
322610 01 TIEGEN BCBS
3147483 01 BCBS OF TN
401559 01 UNITED CONCORDIA
6005L905 05 KY
143184 01 VA BCBS OF VA
E914 01 FEDERAL BCBS
institution
Provider Business Practice Location Address Details
Address
415 North Lake Drive
City
Prestonsburg
State
Kentucky
Zip
41653
Phone Number
606-886-4260
Fax Number
606-886-0886
person
Provider Business Mailing Address Details
Address
415 North Lake Drive
City
Prestonsburg
State
Kentucky
Zip
41653
Phone Number
606-886-4260
Fax Number
606-886-0886
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
5490 (Kentucky)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5490 (Kentucky)
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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