DR. JOSEPH R CLARK (NPI# 1285936005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285936005 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH R CLARK |
| Credential | DDS |
| Practice Address |
42 Georgia Ave Commerce GA 30529-2320 |
| Practice Telephone | 7063354699 |
| Mailing Telephone | 7063354699 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN009715 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN009715 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
| 1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
| 1821217738 | Joseph Allen Clark | Massage Therapist | 3270 Fir Ridge Rd, Lake Oswego, OR 97035-2643 | 2007-04-25 |
| 1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
| 1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
| 1164021093 | Joseph Brady Clark | Physical Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-21 |
| 1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
| 1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
| 1669984407 | Joseph Raymond Clark | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240 | 2017-11-02 |
| Street Address |
42 GEORGIA AVE |
| City | COMMERCE |
| State | GA |
| Zip Code | 30529-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
| 1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
| 1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
| 1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
| 1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
| Find all providers in zip 30529 | ||||
| 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 |
|---|---|---|---|---|
| 1033699236 | Koutchekpour & Spero, A Professional Corporation | Dentist | 100 Citadel Dr Ste 101, Commerce, CA 90040-1579 | 2018-08-16 |
| 1104315332 | Commerce Dental, Pllc | Dentist | 1409 Live Oak St, Commerce, TX 75428-2545 | 2018-05-03 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1568784239 | Ha Ngoc Le, D.m.d., PC | Dentist | 119 Pottery Factory Dr, Commerce, GA 30529-6679 | 2010-02-23 |
| 1396957494 | Hienthu T Do | Dentist | 2319 S Atlantic Blvd, Commerce, CA 90040-1201 | 2007-05-03 |
| 1174629760 | Samuel K Thomason Dmd PC | Dentist | 1397 S Elm St, Commerce, GA 30529-2841 | 2006-09-15 |
| 1649280744 | Robert Charles Cozart Jr. | Dentist | 715 Culver St, Commerce, TX 75428-3605 | 2006-08-09 |
| 1487219705 | Comfort Smiles Nrh Pllc | Dentist | 2210 Live Oak St Ste C, Commerce, TX 75428-4441 | 2019-05-02 |
| 1912470527 | Smile Corner-commerce Pllc | Dentist | 2210 Live Oak St Ste C, Commerce, TX 75428-4441 | 2019-01-07 |
| 1316481302 | Dentalhome | Dentist | 119 Pottery Factory Dr, Commerce, GA 30529-6679 | 2016-12-09 |
| Find all providers in COMMERCE | ||||
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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.