Provider Demographics
NPI:1033328745
Name:CLINARD, KARL DUANE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:DUANE
Last Name:CLINARD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-6213
Mailing Address - Country:US
Mailing Address - Phone:606-679-3654
Mailing Address - Fax:
Practice Address - Street 1:23 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-6145
Practice Address - Country:US
Practice Address - Phone:606-679-8436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY48591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYAC8118108OtherDEA NUMBER