JESSE D CLARK


Address: 1611 Greenfield St, Wilmington, NC 28401-6455
Phone: 9103429210

JESSE D CLARK (NPI# 1376729756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376729756
Entity Type Individual
Full Name JESSE D CLARK
Credential DMD
Practice Address 1611 Greenfield St
Wilmington
NC 28401-6455
Practice Telephone 9103429210
Practice Fax Number 9103429211
Mailing Telephone 9103429210
Mailing Fax Number 9103429211
Enumeration Date 2008-01-15
Last Update Date 2008-01-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
8520 NC Dental Providers

Other Providers JESSE CLARK

NPI Name Taxonomy Address Enumeration
1730517087 Jesse Wayne Clark Counselor 65 Grady Ct, Dayton, OH 45409 2013-10-24
1699323931 Jesse Clark Occupational Therapy Assistant 3485 Windsor Ave, Dubuque, IA 52001-1329 2019-08-29
1043721129 Jesse Kay Clark Physician Assistant 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 2017-10-17
1154642585 Jesse N Clark Family Medicine 10122 E. 10th Street, Suite 100, Indianapolis, IN 46229-2697 2010-06-21
1811166572 Jesse Lawton Clark Internal Medicine 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 2008-02-27

Office Location

Street Address 1611 GREENFIELD ST
City WILMINGTON
State NC
Zip Code 28401-6455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477667954 Wirick & Associates Dds Pa of Wilmington Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2006-08-19
1588224737 William Michael Walker Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2019-06-19
1093374795 Jimmie Powell IIi Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2019-06-07
1336679737 Andrew Nicholas Troupes Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2017-06-18
1679003081 Preston Schryer Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2017-06-18
1992259089 John Yates Williams Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2016-08-07
1548612500 Ahmed Metwally Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2016-07-01
1407201809 Jacob Long Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2016-05-04
1891176392 Michael Plage Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2015-06-11
1700298502 Laura Ann Azzu Dentist 1611 Greenfield St, Wilmington, NC 28401-6455 2014-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013529437 Nicholas Peter Griggs Dentist 7150 Market St Ste 130, Wilmington, NC 28411-9888 2020-08-18
1851930986 L.brett Wells Dds IIi Pllc Dentist 124 Walnut St Ste 101, Wilmington, NC 28401-4361 2020-01-07
1891357166 Alexandra Palamaru Dentist 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 2019-07-08
1497312649 Christian G Cook Dentist 7205 Wrightsville Ave Ste 105, Wilmington, NC 28403-7273 2019-05-23
1417424649 Lindell Plaza Dental LLC Dentist 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 2018-10-25
1699128868 Lauren Elizabeth Marechal Dentist 5000 Market St, Wilmington, NC 28405-3430 2016-07-22
1982051546 Safia Naik-azizi Dmd & Associates Pa Dentist 215 Racine Dr Ste 102, Wilmington, NC 28403-8839 2016-05-24
1508213323 Daniel Joseph Duffy Jr. Dentist 2520 Delaney Ave, Wilmington, NC 28403-6002 2016-05-22
1326468513 Edward Blake Bayley Dentist 1610 Sunset Ln, Wilmington, DE 19810-4149 2014-04-26
1255751616 Eric and Casey Burns Dds Pa Dentist 4914 Randall Pkwy, Wilmington, NC 28403-2879 2014-04-23
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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