Individual provider · Type 1 NPI

Cyrus Bradford Clarke Jr., DMD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1144725540 Active

Practice location

740 S Limestone Room A262
Lexington, KY 40536

Call (859) 323-6723 Map

Fax (859) 323-2036

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X10123 (KY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144725540

Cyrus Bradford Clarke Jr., DMD's National Provider Identifier is 1144725540, issued on Mar 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Jun 28, 2018.