ALICIA RANAE CLARK (NPI# 1407349012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407349012 |
| Entity Type | Individual |
| Full Name | ALICIA RANAE CLARK |
| Credential | DDS |
| Practice Address |
56720 Calumet Ave Calumet MI 49913-1967 |
| Mailing Address |
6121 Statler Dr Se Caledonia MI 49316-9744 |
| Practice Telephone | 9064831177 |
| Mailing Telephone | 6163224938 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901022628 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647373 | Alicia Clark | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2019-06-07 |
| 1821469537 | Alicia Clark | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2015-10-08 |
| 1396125522 | Alicia Kohn Clark | Physical Therapist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2015-06-03 |
| 1669899985 | Alicia Suzanne Clark | Physician Assistant | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2014-03-25 |
| 1952578460 | Alicia T Clark | Internal Medicine | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-05-14 |
| 1134216690 | Alicia Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2006-10-06 |
| 1801898440 | Alicia H Clark | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| Street Address |
56720 CALUMET AVE |
| City | CALUMET |
| State | MI |
| Zip Code | 49913-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255410338 | Elizabeth D. Vanlandschoot | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2006-11-02 |
| 1407347669 | Emily Irene Bushong | Dental Hygienist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2018-05-23 |
| 1831608629 | Jamie Alea Goff | Dental Hygienist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2017-09-25 |
| 1396295721 | Upper Great Lakes Family Health Center | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2016-10-10 |
| 1114354479 | Upper Great Lakes Family Health Center | Clinic/Center | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2013-10-02 |
| 1316381387 | Adam Girard Frimodig | Family Medicine | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2013-04-22 |
| 1528260171 | Glenda Charlene Reynolds | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386947695 | Sheri L. Giordana | Nurse Practitioner | 205 Osceola St., Aspirus Keweenaw, Laurium, MI 49913 | 2010-12-08 |
| 1700073376 | Body Mechanix Physical Therapy, LLC | Physical Therapist | 56730 Calumet Avenue, Suite M, Calumet, MI 49913 | 2007-09-27 |
| 1568843795 | Wanda Joan Kiiskila | Speech-Language Pathologist | 25770 Elm St, Calumet, MI 49913-1220 | 2015-06-12 |
| 1841464492 | Phoenix House Inc. | Substance Abuse Rehabilitation Facility | 57467 Waterworks St, Calumet, MI 49913-1258 | 2008-04-15 |
| 1225103500 | Aspirus Keweenaw Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 54 2nd St, Laurium, MI 49913-1319 | 2006-11-21 |
| 1417281411 | Superior Pediatrics, Pllc | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2009-09-23 |
| 1245462142 | Lisa L Spence | Nurse Practitioner | 324 5th St, Calumet, MI 49913-1502 | 2009-08-12 |
| 1003979501 | Jeffrey Evan Jacobs | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2006-12-18 |
| 1548214315 | Keweenaw Home Nursing, Inc. | Hospice Care, Community Based | 311 6th St, Calumet, MI 49913-1507 | 2006-05-19 |
| 1053895870 | Susan Louise Peterson | Physical Therapist | 311 6th St, Calumet, MI 49913-1507 | 2018-09-18 |
| Find all providers in zip 49913 | ||||
| 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 |
|---|---|---|---|---|
| 1932700986 | Lake Orion Family Dentistry | Dentist | 1320 S Lapeer Rd, Lake Orion, MI 48360-1435 | 2020-11-05 |
| 1093315202 | Peninsula Family Dentistry, PC | Dentist | 3210 Us 41 W, Marquette, MI 49855-9483 | 2020-10-27 |
| 1437758398 | Pristine Dental Care | Dentist | 3021 E Walton Blvd, Auburn Hills, MI 48326-2368 | 2020-10-21 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1457968133 | Norman Family Dentistry PC | Dentist | 519 Ada Dr Se Ste A, Ada, MI 49301-9069 | 2020-09-28 |
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1164037362 | David Posada | Dentist | 1326 Marion Ave, Lincoln Park, MI 48146-2090 | 2020-09-14 |
| 1144835059 | Chelsea Anthony | Dentist | 23207 Norcrest Dr, Saint Clair Shores, MI 48080-2586 | 2020-09-09 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| 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.