DR. CLARK K SMITH (NPI# 1164589727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164589727 |
| Entity Type | Individual |
| Full Name | DR. CLARK K SMITH |
| Other Name | CLARK K SMITH |
| Credential | D.D.S. |
| Practice Address |
25850 Joy Rd Redford MI 48239-1801 |
| Practice Telephone | 3139372968 |
| Practice Fax Number | 3139372969 |
| Mailing Telephone | 3139372968 |
| Mailing Fax Number | 3139372969 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901012555 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 12010004057155 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942179 | Clark Yutaka Smith I | Dentist | 777 Avenue of The Americas Apt 32j, New York, NY 10001-6331 | 2018-02-19 |
| 1679836035 | Clark Samuel Smith | Emergency Medicine | 660 Bannock St, Denver, CO 80204-4506 | 2012-06-20 |
| 1891007902 | Clark Elon Smith | Dentist | 7117 Green Bay Rd, Kenosha, WI 53142-1450 | 2010-07-06 |
| 1518194711 | Clark Lander Smith | Family Medicine | 4301 W Markham St, #508, Little Rock, AR 72205-7101 | 2009-06-15 |
| 1548425903 | Clark Jeffery Smith Jr. | Chiropractor | 200 Creekstone Rdg, Woodstock, GA 30188-3732 | 2008-07-25 |
| 1043494800 | Clark Charles Smith | Physical Medicine & Rehabilitation | 180 Fort Washington Ave, Suite 199, New York, NY 10032-3722 | 2007-12-28 |
| 1518049212 | Clark E Smith | Psychiatry & Neurology | 9820 Willow Creek Rd, Ste 370, San Diego, CA 92131-1112 | 2006-10-20 |
| 1801869946 | Clark M Smith II | Pediatrics | 347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-02-09 |
| Street Address |
25850 JOY RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| 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 |
|---|---|---|---|---|
| 1558633818 | Lidija Filipovska-smith | Dentist | 25106 West Six Mile Rd., Redford, MI 48240 | 2012-02-02 |
| 1437390556 | Shant C Bedikian | Dentist | 25225 W 7 Mile Rd Ste 100, Redford, MI 48240-1462 | 2009-03-19 |
| 1679692370 | Lanlan Zhang | Dentist | 25321 5 Mile Rd Ste 3, Redford, MI 48239-3700 | 2007-03-27 |
| 1235256835 | Laurie Ann Mulka | Dentist | 8881 Beech Daly Rd, Redford, MI 48239-1704 | 2007-03-26 |
| 1689739690 | Sunrise Family Dental Care | Dentist | 25900 West Six Mile, Redford, MI 48240 | 2006-12-27 |
| 1740357755 | Ji S Kim | Dentist | 26750 Grand River Ave, Redford, MI 48240-1529 | 2006-11-29 |
| 1316059959 | David Anthony Paulisin | Dentist | 24350 Joy Rd, Suite 3, Redford, MI 48239-1200 | 2006-08-31 |
| 1689782906 | Robyn A Duncan | Dentist | 25225 W 7 Mile Rd, Redford, MI 48240-1462 | 2006-08-27 |
| 1669481461 | Lawrence J Vernier | Dentist | 26001 Grand River Ave, Redford, MI 48240-1440 | 2006-08-08 |
| 1184661688 | James Walter Decapite | Dentist | 26129 W 6 Mile Rd, Redford, MI 48240-2218 | 2006-06-01 |
| Find all providers in REDFORD | ||||
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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.