DENNIS WILLARD CLARK


Address: 90 Market St, Suite 80, Lebanon, OR 97355-2394
Phone: 5414511440

DENNIS WILLARD CLARK (NPI# 1427057157) 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) 1427057157
Entity Type Individual
Full Name DENNIS WILLARD CLARK
Credential D.D.S.
Practice Address 90 Market St
Suite 80
Lebanon
OR 97355-2394
Practice Telephone 5414511440
Practice Fax Number 5414511507
Mailing Telephone 5414511440
Mailing Fax Number 5414511507
Enumeration Date 2005-07-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D5507 OR Dental Providers

Other Providers DENNIS CLARK

NPI Name Taxonomy Address Enumeration
1851629422 Dennis Erin Clark Registered Nurse 112 W Mcdonald St, Edgerton, KS 66021-2430 2009-11-19
1780778050 Dennis Eugene Clark Dentist 2121 Leeds Rd, Merced, CA 95340-9651 2006-10-03
1871515643 Dennis Howard Clark Dentist 375 N Stephanie St, Suite #611, Henderson, NV 89014-8771 2006-07-24
1356313969 Dennis Dewayne Clark Specialist 111 Town Center Dr, Anniston, AL 36205-4101 2006-02-07
1750364188 Dennis Jay Clark Jr. Physician Assistant 110 Magee, Groveton, TX 75845-4185 2005-11-21
1750629267 Dennis Ray Clark Pharmacist 162 Ne Beacon Dr, Suite #109, Grants Pass, OR 97526-4260 2013-01-18
1689863805 Dennis J Clark Physician Assistant 1850 E Park Ave, Suite 112, State College, PA 16803-6705 2007-10-24
1386868370 Dennis P Clark Dentist 9430 Sw Coral St, Suite 200, Tigard, OR 97223-6691 2007-04-12
1730220518 Dennis Clark Physical Therapist 4210 Southtown Dr, Eau Claire, WI 54701-2635 2007-02-12
1508964313 Dennis P Clark Psychologist 100 Caldwell Drive, Dubois, PA 15801 2006-09-20

Office Location

Street Address 90 MARKET ST
SUITE 80
City LEBANON
State OR
Zip Code 97355-2394

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940281 Roger Munk Optometrist 90 Market St, Ste 20, Lebanon, OR 97355-2396 2005-05-24
1710168877 Lifetime Vision Source of Lebanon LLC Optometrist 90 Market St, Ste 20, Lebanon, OR 97355-2394 2007-11-16
1356344220 Dennis Pearson Optometrist 90 Market St, Ste 20, Lebanon, OR 97355-2396 2005-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710516182 Patricia Hoangphuong Nguyen Student in an Organized Health Care Education/Training Program Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 2020-04-07
1528609740 Liana Beaty Technician 31231 Mccraven Ln, Lebanon, OR 97355 2019-09-30
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1033565551 Celeste Maxine Croy-baker Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2016-05-13
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
Find all providers in zip 97355

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
1902414436 University Smiles LLC Dentist 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 2020-07-21
1962020693 Rachel Hancock Dentist 367 Nh 120, Lebanon, NH 03766-1430 2020-07-09
1386295434 Zarna Patel Dentist 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 2019-09-20
1932639044 Carson James Stroyan Dentist 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 2017-06-13
1083142483 Horton Scott Li Dentist 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 2017-05-30
1548712151 Patel Dental Group of Upper Valley Dentist 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 2016-10-30
1235584913 Temicka Terrell Dentist 1037 W Main St Ste E, Lebanon, TN 37087-3356 2016-04-29
1215340880 Eriks Dental, PC Dentist 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 2014-06-11
1497043178 Jacob Eldon Frazier Dentist 110 Wakanda Dr, Lebanon, IL 62254-1393 2011-07-15
1740592633 John David Hirce Dentist 367 Route 120 Unit D, Lebanon, NH 03766-1430 2010-07-08
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 97355

Improve Information

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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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