MARK A CLEGG (NPI# 1245247303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245247303 |
| Entity Type | Individual |
| Full Name | MARK A CLEGG |
| Credential | DMD |
| Practice Address |
606 N Hutchinson Ave Adel GA 31620 |
| Practice Telephone | 2298962572 |
| Practice Fax Number | 2298961162 |
| Mailing Telephone | 2298962572 |
| Mailing Fax Number | 2298961162 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN010667 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205051679 | Mark Clegg | Massage Therapist | 2031 E Burnside St, Portland, OR 97214-1649 | 2007-04-13 |
| Street Address |
606 N HUTCHINSON AVE |
| City | ADEL |
| State | GA |
| Zip Code | 31620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
| 1144699141 | Alexander Warren | Nurse Practitioner | 110 S Hutchinson Ave, Adel, GA 31620 | 2015-09-20 |
| 1538474002 | Tift Regional Health System, Inc. | Specialist | 103 East James Street, Adel, GA 31620 | 2010-08-09 |
| 1427388578 | Newhaven | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 South Hutchinson Avenue, Adel, GA 31620 | 2010-01-12 |
| 1942374350 | South Georgia Csb | Clinic/Center | 203 Industrial Park Drive, Adel, GA 31620 | 2006-11-17 |
| 1457424616 | Cook County Board of Education | Local Education Agency (LEA) | 1109 N Parrish Ave, Adel, GA 31620 | 2006-11-16 |
| 1366513210 | Thomas D Fausett Jr. | Family Medicine | 707 N Parrish Ave, Adel, GA 31620 | 2006-11-13 |
| 1689765851 | Chris T. Hilliard | Dentist | 130 S. Parrish Ave., Adel, GA 31620 | 2006-09-27 |
| 1336102938 | Dca of Adel LLC | Clinic/Center | 701 North Hutchinson Avenue, Adel, GA 31620 | 2006-04-07 |
| 1558351809 | Lansing Charis Hillman | Family Medicine | 308 N Parrish Ave, Adel, GA 31620 | 2005-10-27 |
| Find all providers in zip 31620 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316384415 | Jesse Franklin Mcmillan | Dentist | 130 S Parrish Ave, Adel, GA 31620-2642 | 2013-05-29 |
| 1639236904 | James Edward Knighton | Dentist | 602 N Parrish Ave, Adel, GA 31620-2062 | 2007-01-03 |
| 1689774853 | Howard George Belsheim | Dentist | 216 South Nile Kinnick Drive, Adel, IA 50003-1727 | 2006-09-25 |
| 1659684843 | Rachel Nelson Matta | Dentist | 906 Main St, Adel, IA 50003-1451 | 2010-07-16 |
| 1396837530 | Gary Willis Colwell | Dentist | 906 Main Street, Adel, IA 50003 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920445 | Islands Family Dental, LLC | Dentist | 3 Wilmington Village Way, Savannah, GA 31410-3700 | 2020-10-19 |
| 1528665486 | Mount Vernon Dental Group, LLC | Dentist | 2472 Jett Ferry Rd Ste 430, Dunwoody, GA 30338-3059 | 2020-10-05 |
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1164037800 | Darby Kathryn Gentry | Dentist | 3585 Lawrenceville Suwanee Rd # 101-a, Suwanee, GA 30024-7058 | 2020-09-10 |
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1295347748 | Elizabeth W Muraya | Dentist | 5218 Jimmy Lee Smith Pkwy Ste 100, Hiram, GA 30141-2747 | 2020-08-17 |
| 1942818182 | Prasanthi Pattabhi | Dentist | 2993 Normandy Rdg, Lawrenceville, GA 30044-7869 | 2020-07-14 |
| 1700404522 | Rocio Jacobo Rubio | Dentist | 23 Old Atlanta Hwy Ste 200, Newnan, GA 30263-6341 | 2020-07-08 |
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.