DR. GEORGE B CLARK (NPI# 1700890415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700890415 |
| Entity Type | Individual |
| Full Name | DR. GEORGE B CLARK |
| Credential | DDS |
| Practice Address |
430 Kenhorst Blvd Reading PA 19611-1830 |
| Practice Telephone | 6107750321 |
| Practice Fax Number | 6107778884 |
| Mailing Telephone | 6107750321 |
| Mailing Fax Number | 6107778884 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS017638L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099279 | George Clark | Assisted Living Facility | P13 Avon Dr, East Windsor Nj, NJ 08520 | 2015-07-29 |
| 1285900746 | George Wesley Clark | Surgery | 2049 Snapdragon Ln, Alpine, CA 91901-1304 | 2012-03-29 |
| 1699007807 | George James Clark | Pharmacist | 9338 215th Pl, Queens Village, NY 11428-1712 | 2010-02-12 |
| 1851542534 | George Warren Clark | Social Worker | 6750 Lombardy Dr, Chelsea, MI 48118-9586 | 2008-10-01 |
| 1043320773 | George R Clark | Dentist | 610 Old Campbell Rd, Suite 116, Richardson, TX 75080 | 2006-08-30 |
| 1780619403 | George Barnes Clark II | Registered Nurse | 4301 West 7th St, Code 112lr, Little Rock, AR 72205-0000 | 2006-07-11 |
| 1013914126 | George L Clark | Family Medicine | 8740 Rivers Ave, North Charleston, SC 29406-9211 | 2005-07-05 |
| 1750927075 | George Wesley Clark | Technician, Other | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2019-11-21 |
| 1801452040 | George Clark | Social Worker | 105 Merrick St, Worcester, MA 01609-1937 | 2019-05-14 |
| 1780968776 | George Clark | Pharmacist | 21828 23 Mile Rd, Macomb, MI 48042-4422 | 2011-10-07 |
| Street Address |
430 KENHORST BLVD |
| City | READING |
| State | PA |
| Zip Code | 19611-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659509404 | Boulevard Dental Associates | Dentist | 430 Kenhorst Blvd, Reading, PA 19611-1830 | 2009-06-30 |
| 1750596045 | Timothy Medianick | Dentist | 430 Kenhorst Blvd, Reading, PA 19611-1830 | 2007-05-11 |
| 1356403109 | Christopher J Kosenske | Dentist | 430 Kenhorst Blvd, Reading, PA 19611-1830 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645247 | Donna Connor | Nurse Practitioner | S. 6th Ave, Reading, PA 19611 | 2017-05-08 |
| 1215397286 | Brian Punnoose | Pharmacist | 301 S. 6th Avenue, West Reading, PA 19611 | 2016-03-03 |
| 1700273323 | Sheila Kalathil | Internal Medicine | 420 S 5th Avenue, West Reading, PA 19611 | 2015-04-21 |
| 1497174502 | Marianne Sharon | Counselor | 20-22 North 6th Ave., West Reading, PA 19611 | 2014-04-16 |
| 1699191718 | Meghan Ward | Nurse Practitioner | Bldg N Ground- 6th Avenue & Spruce Street, West Reading, PA 19611 | 2014-03-13 |
| 1821413378 | Elizabeth Rider-williams | Counselor | 6th Avenue & Spruce Street - K Bldg, West Reading, PA 19611 | 2014-02-20 |
| 1295050193 | John Oliver Mclain Jr. | Psychiatry & Neurology | S. 6th Ave and Spruce Street, West Reading, PA 19611 | 2010-04-02 |
| 1215252515 | Sara L Lee | Physician Assistant | S Sixth Ave and Spruce St, Thrmc Regional Cancer Center, West Reading, PA 19611 | 2010-03-30 |
| 1508012683 | Kathryn Mraz Marr | Physical Therapist | 629 Court St, West Reading, PA 19611 | 2008-08-08 |
| 1316116809 | Genesis House Reading | Clinic/Center | 697 Reading Avenue, West Reading, PA 19611 | 2008-02-28 |
| Find all providers in zip 19611 | ||||
| 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 |
|---|---|---|---|---|
| 1871154054 | Ashley Huynh | Dentist | 5001 Perkiomen Ave Ste 102, Reading, PA 19606-9655 | 2019-06-27 |
| 1871927046 | Navdeep Kaur Sandhu | Dentist | 8 Rim View Ln, Reading, PA 19607-3009 | 2013-08-23 |
| 1831531722 | Manmeet Kaur Kuckreja | Dentist | 3302 N Fifth St Highway, Dental Dreams LLC, Reading, PA 19605 | 2013-07-22 |
| 1730469933 | Christian Matthew Reinecker | Dentist | 4730 Perkiomen Ave, Reading, PA 19606-9521 | 2011-08-19 |
| 1194038703 | Robert Wesley Wahl IIi | Dentist | 3518 Saint Lawrence Ave, Reading, PA 19606-2357 | 2010-07-24 |
| 1235367962 | Prashant Garg | Dentist | 3302 N 5th St, Reading, PA 19605-2427 | 2009-07-01 |
| 1649416439 | Ronald Charles Szish | Dentist | 3330 Plaza Dr, Reading, PA 19605-2418 | 2008-12-28 |
| 1841494374 | Ryan Heister Linn | Dentist | 72 Winchester Ct, Reading, PA 19606-9511 | 2007-06-11 |
| 1235356742 | Gregory Paul Cortellessa | Dentist | 1270 Shelbourne Rd, Reading, PA 19606-9022 | 2007-04-19 |
| 1871618942 | Cyril V Leddy Dds PC | Dentist | 312 Lancaster Avenue, Reading, PA 19611 | 2007-03-20 |
| Find all providers in READING | ||||
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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.