Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack R Clark, DMD

Individual provider General Practice Dentistry · NPI 1083840342

Dr. Jack R Clark, DMD is a General Practice Dentistry in Homewood, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1856 Lancaster Rd
Homewood, AL 35209-4114
Phone: (205) 871-2591
Fax: (205) 879-1900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4290 (AL)

Record details

NPI number1083840342
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 1, 2009
Last updated in NPPESJune 1, 2009
Mailing address1856 Lancaster Rd, Homewood, AL 35209-4114

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