BRUCE RICHARD CLARKE (NPI# 1407095383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407095383 |
| Entity Type | Individual |
| Full Name | BRUCE RICHARD CLARKE |
| Credential | D.D.S. |
| Practice Address |
203 North Second Ave Mechanicville NY 12118 |
| Practice Telephone | 5186647348 |
| Mailing Telephone | 5186647348 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 029797 | NY | Dental Providers |
| Street Address |
203 NORTH SECOND AVE |
| City | MECHANICVILLE |
| State | NY |
| Zip Code | 12118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760998 | Kelly Ann Doering | Social Worker | 2452 U.s Route 9, Suite 206, Mechanicville, NY 12118 | 2020-08-10 |
| 1366050502 | Meghan Ruth Lourie | Social Worker | 2452 U.S. Route 9, Suite 206, Mechanicville, NY 12118 | 2020-07-14 |
| 1245888957 | Keith Simpson | Technician | 21 Camber Ct, Mechanicville, NY 12118 | 2019-08-27 |
| 1275000481 | Mikayla Grace Gowett | Physician Assistant | 7 Musket March, Mechanicville, NY 12118 | 2018-10-25 |
| 1588113252 | Amanda Bane | Social Worker | 2452 Route 9, Suite 206, Mechanicville, NY 12118 | 2016-09-23 |
| 1134334857 | Elizabeth Louise Eigner | Registered Nurse | 9grandst, Mechanicville, NY 12118 | 2007-05-14 |
| 1649308404 | Nicole Decrescenzo | Physical Therapist | 218 S. Central Avenue, Mechanicville, NY 12118 | 2007-03-01 |
| 1083704779 | Phyllis M Dellacroce | Chiropractor | 505 Park Ave, Mechanicville, NY 12118 | 2006-10-13 |
| 1295824134 | Ingrid Bermudez | Family Medicine | 242 So Central Ave, Mechanicville, NY 12118 | 2006-10-11 |
| 1164451035 | Family Dental Associates LLP | Dentist | 211 Park Ave, Mechanicville, NY 12118 | 2006-07-02 |
| Find all providers in zip 12118 | ||||
| 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 |
|---|---|---|---|---|
| 1821374042 | John Lawrence Musci | Dentist | 515 Park Ave, Mechanicville, NY 12118-2031 | 2011-11-02 |
| 1164451035 | Family Dental Associates LLP | Dentist | 211 Park Ave, Mechanicville, NY 12118 | 2006-07-02 |
| 1225404833 | Vincent Fuschino, Dds, P.C. | Dentist | 42 N Main St, Mechanicville, NY 12118-1908 | 2015-08-18 |
| 1336491224 | Petra V. Enzien | Dentist | 211 Park Ave, Mechanicville, NY 12118-1502 | 2012-10-03 |
| 1164719316 | Vincent Pat Fuschino | Dentist | 42 N Main St, Mechanicville, NY 12118-1908 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICVILLE |
| Zip Code | 12118 |
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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.