Doctor profile · Federal record
Dr. Dale Clark, DMD
Dentist · Russellville, KY
- NPI 1144339177
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
204 East Fourth St
Russellville, KY 42276
(270) 726-7511
fax (270) 726-6831
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Kentucky #5933
- Medicaid
- KY #60059334
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144339177. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona Inc | 1 | $14.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
170
Patients
112
Total drug cost
$688
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 121 | 86 | $404 |
| Chlorhexidine Gluconate | Generic | 19 | 0 | $83 |
| Cephalexin | Generic | 17 | 14 | $84 |
| Clindamycin Hcl | Generic | 13 | 12 | $117 |
Frequently asked questions
What is Dr. Dale Clark's medical specialty?
Dr. Dale Clark practices Dentist in Russellville, KY.
Where does Dr. Dale Clark practice?
Dr. Dale Clark practices at 204 East Fourth St, Russellville, KY 42276. Office phone: 2707267511.
What is Dr. Dale Clark's NPI?
Dr. Dale Clark's National Provider Identifier (NPI) is 1144339177, issued by NPPES.