Richard James Clark Iii (NPI# 1942249545, PAC ID# 4385883552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1942249545 |
PAC ID by PECOS | 4385883552 |
Professional Enrollment ID | I20130619000189 |
Full Name | Richard James Clark Iii |
Organization Legal Name | DANIEL J. DALEY, JR., DDS, PC |
Address |
2300 Garrett Rd Drexel Hill PA 19026-1102 |
Phone Number | 6106234211 |
Gender | M |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF DENTISTRY |
Graduation Year | 1985 |
Primary Specialty | ORAL SURGERY |
Secondary Specialties | ANESTHESIOLOGY, MAXILLOFACIAL SURGERY |
Group Practice PAC ID | 9739328147 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 6106234211 | DANIEL J. DALEY, JR., DDS, PC |
Organization Legal Name | DANIEL J. DALEY, JR., DDS, PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas Hatges | Oral Surgery | Daniel J. Daley, Jr., Dds, PC | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 |
Street Address |
2300 GARRETT RD |
City | DREXEL HILL |
State | PA |
Zip | 19026-1102 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas Hatges | Oral Surgery | Daniel J. Daley, Jr., Dds, PC | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward E Villanueva | Podiatry | 2501 Garrett Rd, Drexel Hill, PA 19026-1010 | |
Robert C Madonna Jr. | Family Medicine | 2504 Garrett Rd, Drexel Hill, PA 19026-1011 | |
Paul X Benedetto | Dermatology | Benedetto Dermatology LLC | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 |
Edward M Bleeden | Internal Medicine | Edward M Bleeden M D P C | 2235 Garrett Rd, Drexel Hill, PA 19026-1101 |
Peter L King | Podiatry | 2245 Garrett Rd, Drexel Hill, PA 19026-1101 | |
Ernest A Benedetto | Dermatology | Benedetto Dermatology LLC | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 |
Anthony Vincent Benedetto | Dermatology | Benedetto Dermatology LLC | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 |
Edward J Block | Podiatry | 2245 Garrett Rd, Drexel Hill, PA 19026-1101 | |
Milad Kosa | Internal Medicine | Prospect Health Access Network Inc | 501 N Lansdowne Ave, Dcmh, Drexel Hill, PA 19026-1114 |
Philip J Stevens | Physical Medicine and Rehabilitation | 501 N Lansdowe Ave, Drexel Hill, PA 19026-1114 | |
Find all physicians in zip 19026 |
City | DREXEL HILL |
Zip Code | 19026 |
Specialty | ORAL SURGERY |
City + Specialty | DREXEL HILL + ORAL SURGERY |
Please comment or provide details below to improve the information on Richard James Clark Iii.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.