DR. HEATHER ELISE CLARK (NPI# 1609043587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609043587 |
| Entity Type | Individual |
| Full Name | DR. HEATHER ELISE CLARK |
| Credential | DDS |
| Practice Address |
1331 Village Dr Saint Joseph MO 64506-2457 |
| Practice Telephone | 8162321444 |
| Mailing Telephone | 8162321444 |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2007014394 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1417387721 | Heather Summers Clark | Counselor | 12729 Nw Twin Oaks Dr, Bristol, FL 32321-3431 | 2013-11-22 |
| 1093095010 | Heather C Clark | Physical Therapist | 778 Baeder Rd, Jenkintown, PA 19046-2236 | 2011-08-22 |
| 1619184959 | Heather Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2007-05-17 |
| 1033281555 | Heather E Clark | Dentist | 269 N Easton Rd, Glenside, PA 19038-4717 | 2006-11-14 |
| 1336139252 | Heather J Clark | Pharmacist | 14720 Metcalf Ave, Overland Park, KS 66223-2204 | 2005-10-22 |
| 1356343784 | Heather M Clark | Dentist | 2311 New Rd, Northfield, NJ 08225-1442 | 2005-08-15 |
| 1295365815 | Heather Elan Clark | Registered Nurse | 5721 Hamilton Rd, Jordan, NY 13080-9760 | 2020-01-23 |
| 1861983116 | Heather Nicole Clark | Counselor | 510 E Carolina Ave, Hartsville, SC 29550-4396 | 2018-05-22 |
| 1215424270 | Heather Lynn Clark | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-04-16 |
| Street Address |
1331 VILLAGE DR |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750320818 | Mary Elaine Greer | Nurse Practitioner | 1331 Village Dr, Saint Joseph, MO 64506-2457 | 2006-06-05 |
| 1710479894 | Ashley Rose Deacy | Dentist | 1331 Village Dr, Saint Joseph, MO 64506-2457 | 2018-06-04 |
| 1053568477 | Clark Family Dentistry | Dentist | 1331 Village Dr, Saint Joseph, MO 64506-2457 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| 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 |
|---|---|---|---|---|
| 1861878308 | Bradley Scott Williams | Dentist | 5101 N Belt Hwy, Saint Joseph, MO 64506-1261 | 2015-08-06 |
| 1184968695 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4112 N Belt Hwy, Saint Joseph, MO 64506-1281 | 2012-11-21 |
| 1891085676 | Charles Howenstine | Dentist | 3386 Niles Rd, Saint Joseph, MI 49085-8800 | 2011-04-13 |
| 1366620304 | Richard Carl Hake | Dentist | 1626 Langley Ave, Saint Joseph, MI 49085-1733 | 2008-02-01 |
| 1750591665 | Arthur Scott Nelson | Dentist | 2401 Frederick Ave, Saint Joseph, MO 64506-2727 | 2007-05-23 |
| 1376760611 | Lisa Ann Goin | Dentist | 805 N 36th St, Suite A, Saint Joseph, MO 64506-2979 | 2007-04-19 |
| 1578789939 | Robert. L. Brunker, D.d.s., P.C. | Dentist | 103 S 36th St, Saint Joseph, MO 64506-2920 | 2007-04-17 |
| 1558586248 | M Ichael Frank Contardo | Dentist | 26 2nd Ave Nw, Saint Joseph, MN 56374-4106 | 2007-04-16 |
| 1962520833 | George Robert Ruwwe Jr. | Dentist | 710 Felix St, Saint Joseph, MO 64501-2236 | 2007-03-27 |
| 1669597043 | W R Ted Kuball | Dentist | 3012 Niles Rd, Saint Joseph, MI 49085-8653 | 2007-03-21 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
Please comment or provide details below to improve the information on DR. HEATHER ELISE CLARK.
| 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.