John W. Clark Pa
Customized Equipment
753 Stillwater Ave, Bangor
Maine, 04401-3633
207-990-5887 207-307-7002
John W. Clark Pa is a Customized Equipment in Bangor, Maine. It is located at 753 Stillwater Ave, Bangor and it's customer support contact number is 207-990-5887. The authorized person of John W. Clark Pa is Dr. John W Clark, DDS who is President of this DME and his contact number is 207-564-8197. Active license number of John W. Clark Pa is 3365 for Customized Equipment in Maine. John W. Clark Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
John W. Clark Pa is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
John W. Clark Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | John W. Clark Pa |
| Type: | Customized Equipment |
| Location: | 753 Stillwater Ave, Bangor,
Maine, 04401-3633 |
| Phone: | 207-990-5887 |
| Fax: | 207-307-7002 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. John W Clark |
| Credentials: | DDS |
| Position: | President |
| Contact Number: | 207-564-8197 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1275904435 |
| NPI Enumeration Date: | 14 Oct, 2015 |
| NPI Last Update On: | 15 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John W. Clark Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 3365 | Maine | Primary | |
Medicare Enrollment:
John W. Clark Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3870740525 | O20191014000489 | John W Clark Pa | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 753 Stillwater Ave,
Bangor, Maine |
| Zip: | 04401-3633 |
| Phone Number: | 207-990-5887 |
| Fax Number: | 207-564-8489 |
Patients can reach John W. Clark Pa at
753 Stillwater Ave, Bangor, Maine or can
call on customer care at 207-990-5887.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.