IndividualActive
Roger Clark, D.D.S.
NPI 1821202383 · General Practice Dentistry · Lebanon, OH
Roger Clark, D.D.S. is a General Practice Dentistry provider in Lebanon, OH (NPI 1821202383).
Provider details
- NPI number
- 1821202383
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 13795 (OH)
Practice location
736 Columbus Ave
Lebanon, OH 45036-1608
Phone: (513) 932-1370
Fax: (513) 932-0814
Street-level locationGet directions
Mailing address
736 Columbus Ave
Lebanon, OH 45036-1608
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.