DR. REUBEN JUSTUS CLARK (NPI# 1013177062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013177062 |
| Entity Type | Individual |
| Full Name | DR. REUBEN JUSTUS CLARK |
| Credential | DDS |
| Practice Address |
730 Howe Ave Suite 200 Sacramento CA 95825-4616 |
| Mailing Address |
4420 Town Center Blvd 280 El Dorado Hills CA 95762-7134 |
| Practice Telephone | 9165679707 |
| Mailing Telephone | 9162516810 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
57075 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404322 | Reuben Leon Clark | Dentist | 655 West Center Street, Midvale, UT 84047 | 2015-08-11 |
| Street Address |
730 HOWE AVE SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699721688 | Smith Dental Corporation | Dentist | 730 Howe Ave, #200, Sacramento, CA 95825-4616 | 2006-05-25 |
| 1316986953 | Paul Bradford Smith | Dentist | 730 Howe Ave, #200, Sacramento, CA 95825-4616 | 2006-06-06 |
| 1457390924 | Marlon Scott Smith | Dentist | 730 Howe Ave, #200, Sacramento, CA 95825-4616 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784424 | Jonathan Robert Hayes | Dentist | 605 Commons Dr, Sacramento, CA 95825-6633 | 2020-09-09 |
| 1942814512 | Karisa Yamamoto | Dentist | 786 Still Breeze Way, Sacramento, CA 95831-5548 | 2020-09-01 |
| 1659981447 | Michael Steven Louie | Dentist | 7608 Bridgeview Dr, Sacramento, CA 95831-4235 | 2020-08-05 |
| 1902426950 | Yen Hai Nguyen | Dentist | 5870 Da Vinci Way, Sacramento, CA 95835-2326 | 2020-04-20 |
| 1598302432 | Alix Angelica Torres | Dentist | 7227 29th St Ste C, Sacramento, CA 95822-5005 | 2019-12-10 |
| 1912558289 | Yevhen Usachov | Dentist | 6175 Stockton Blvd Ste 260, Sacramento, CA 95824-4521 | 2019-09-26 |
| 1982250171 | Michelle Fat | Dentist | 99 Scripps Dr Ste 100, Sacramento, CA 95825-6317 | 2019-08-13 |
| 1639737414 | Katherine Co Tan | Dentist | 7850 Stockton Blvd Ste 160, Sacramento, CA 95823-4387 | 2019-06-05 |
| 1992362792 | Barnes Dentral Group, Inc | Dentist | 701 Howe Ave Ste B34, Sacramento, CA 95825-4604 | 2019-05-28 |
| 1679039960 | Reymond Bautista Dental Corporation | Dentist | 3640 Crocker Ave Ste 130, Sacramento, CA 95818-3970 | 2019-02-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.