IndividualActive
Alexander Clark, DDS
NPI 1265882104 · Dentist · Prairie Village, KS
Provider details
- NPI number
- 1265882104
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2016001210 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
8340 Mission Rd Ste 118
Prairie Village, KS 66206-1362
Phone: (913) 362-4488
Approximate (ZIP-level) locationGet directions
Mailing address
8340 Mission Rd Ste 118
Prairie Village, KS 66206-1362
Registry dates
- Enumerated
- 2016-06-21
- Last updated
- 2022-05-12
- Certified
- 2022-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.