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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
8520 | NC | Dental Providers |
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 |
Street Address |
1611 GREENFIELD ST |
City | WILMINGTON |
State | NC |
Zip Code | 28401-6455 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28401 |
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 |
---|---|---|---|---|
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 |
City | WILMINGTON |
Zip Code | 28401 |
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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.