Kemar Clarke, DMD
Individual provider Active NPI General Practice Dentistry · Lancaster, TX
NPI 1659948495 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1659948495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 38202 (TX)
- Practice address
- 404 N Interstate 35 E Ste 118
Lancaster, TX 75146-1866 - Phone
- (972) 223-3500
- NPI assigned
- Jun 9, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38202 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38202 | TX | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
404 N Interstate 35 E Ste 118
Lancaster, TX 75146-1866
Mailing address
404 N Interstate 35 E Ste 118
Lancaster, TX 75146-1866
Phone (972) 223-3500
Other practice location 1
1775 Grand Concourse Fl 6
Bronx, NY 10453-8202
Phone (718) 901-8410
Other providers in Lancaster, TX
- Christ Arms Home Health Care Inc
- Christarm Custom Homes
- City of Lancaster
- Clarity Dermatology PLLC
- Clark and Thomas 1704 LLC
- Clinica Hispana Lancaster LLC
- CMC ER Physicians PLLC
- Coif - Soe
- Coif - Soe Inc
- Compassion Home Health Inc
All providers in Lancaster, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.