MEDICARE: WILLIAM CLARK DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1093383952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM CLARK DDS INC

Provider Business Mailing Address
First Line	:	1040 NE 36TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-5002
Country	:	US
Telephone Number	:	405-427-5405
Fax Number	:	405-427-5406

Provider Business Practice Location Address
First Line	:	1040 NE 36TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-5002
Country	:	US
Telephone Number	:	405-427-5405
Fax Number	:	405-427-5406

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM A CLARK JR.
Credential	:	DDS
Telephone Number	:	405-427-5405

Provider Enumeration Date	:	06/16/2021
Last Update Date	:	06/16/2021

Similar Medicare Providers

1740521509 — W.A. CLARK, D.D.S., P.L.L.C.
Practice Location Address:

1040 NE 36TH ST
OKLAHOMA CITY, OK
73111-5002

Practice Phone: 405-427-5405
Practice Fax:

1417443474 — DR. RAJJU GUPTA DDS
Practice Location Address:

1040 NE 36TH ST
OKLAHOMA CITY, OK
73111-5002

Practice Phone: 405-967-7742
Practice Fax:

1346939253 — DR. DREXY PEARL TORRES ANCOG DDS
Practice Location Address:

1040 NE 36TH ST
OKLAHOMA CITY, OK
73111-5002

Practice Phone: 405-967-7742
Practice Fax:

1689785941 — KRIS WILLIAMS BA
Practice Location Address:

1418 NW 44TH ST
OKLAHOMA CITY, OK
73118-5002

Practice Phone: 405-315-9901
Practice Fax:

1689042061 — MICAH ADAMS DPT
Practice Location Address:

5002 S ANDERSON RD
OKLAHOMA CITY, OK
73150-3808

Practice Phone: 405-732-0500
Practice Fax: 405-732-0550

1578013959 — DEBORAH FINLEY
Practice Location Address:

1434 NW 44TH ST
OKLAHOMA CITY, OK
73118-5002

Practice Phone: 405-639-1463
Practice Fax:

Directions to “WILLIAM CLARK DDS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.