DAVID STEPHEN CLARK (NPI# 1053832907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053832907 |
| Entity Type | Individual |
| Full Name | DAVID STEPHEN CLARK |
| Credential | DDS |
| Practice Address |
2909 Azalea Park Dr Muskogee OK 74401-2283 |
| Mailing Address |
5810 E Skelly Dr Ste 1800 Tulsa OK 74135-6434 |
| Practice Telephone | 9186820544 |
| Mailing Telephone | 9189980996 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6977 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
2909 AZALEA PARK DR |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-2283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526106 | Muskogee Dental Group, Inc. | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2012-04-09 |
| 1629621610 | Alexaundrea Smith | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2019-07-19 |
| 1780127969 | Spring Dental Muskogee, Pllc | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2016-11-21 |
| 1154659308 | John D. Mose | Dentist | 2909 Azalea Park Dr, Muskogee, OK 74401-2283 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| 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 |
|---|---|---|---|---|
| 1154741023 | Okc Dental Health Associates, P.C. | Dentist | 3201 W Broadway St, Muskogee, OK 74401-2132 | 2014-04-18 |
| 1316297468 | Eric Massad Dds Pllc | Dentist | 2404 Old Shawnee Rd, Muskogee, OK 74403-1561 | 2012-09-17 |
| 1902112022 | Dr. David Reifsteck, PC, Inc. | Dentist | 3320 N Country Club Rd, Muskogee, OK 74403-2347 | 2010-08-26 |
| 1982933545 | Mobile Dental Care of Oklahoma, PC | Dentist | 2714 Buford St, Muskogee, OK 74403-1601 | 2009-12-10 |
| 1073768016 | David Gale Jones | Dentist | 510 North York Street, Muskogee, OK 74403-4839 | 2008-11-18 |
| 1992916993 | Ocean Dental, P.C. | Dentist | 930 A West Shawnee Street, Muskogee, OK 74401-3511 | 2007-05-24 |
| 1457573750 | James Sidney Nicholson Jr. | Dentist | 730 Callahan St, Muskogee, OK 74403-5143 | 2007-05-03 |
| 1235357575 | Paula Lynn Vann-dickmann | Dentist | 3500 E Shawnee Rd, Muskogee, OK 74403-1812 | 2007-04-23 |
| 1154544187 | Dental Care of Muskogee, Inc. | Dentist | 2406 E. Shawnee Avenue, Suite D, Muskogee, OK 74403-1561 | 2007-04-10 |
| 1811099211 | Susan Dunn | Dentist | 3503 Chandler Rd, Muskogee, OK 74403 | 2006-09-05 |
| Find all providers in MUSKOGEE | ||||
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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.