DR. ROBERT S CLARK (NPI# 1710909536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710909536 |
| Entity Type | Individual |
| Full Name | DR. ROBERT S CLARK |
| Credential | DDS |
| Practice Address |
31 Schoosett St Suite 101 Pembroke MA 02359 |
| Practice Telephone | 7818267577 |
| Practice Fax Number | 7818268970 |
| Mailing Telephone | 7818267577 |
| Mailing Fax Number | 7818268970 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13190 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0248126 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
31 SCHOOSETT ST SUITE 101 |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922571033 | Happy Dentist Happy Life Dba Luxesmile Dentistry | Clinic/Center | 31 Schoosett St, Pembroke, MA 02359-1877 | 2019-01-11 |
| 1619218203 | Steven D. Spitz, Dmd,llc | Dentist | 31 Schoosett St, Suite 101, Pembroke, MA 02359-1877 | 2013-03-07 |
| 1922294354 | Center for Behavioral Health,llc | Psychologist | 31 Schoosett St, Suite 205, Pembroke, MA 02359-1877 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| 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 |
|---|---|---|---|---|
| 1376180828 | Perikymata, Pllc | Dentist | 15 Columbia Rd Ste 2, Pembroke, MA 02359-1841 | 2019-12-03 |
| 1609417062 | Ronnie Lowery, D.d.s., PC | Dentist | 132 New Horizons Drive, Pembroke, NC 28372-2837 | 2019-10-07 |
| 1255816542 | Unique Dental of Pembroke LLC | Dentist | 752 Washington St Ste 15, Pembroke, MA 02359-2311 | 2018-10-02 |
| 1134380389 | Tyler Jeffrey Collins | Dentist | 216 Wardell Dr, Pembroke, NC 28372-9262 | 2008-06-20 |
| 1902020126 | Ronnie Lowery | Dentist | 216 Wardell Rd, Pembroke, NC 28372 | 2007-04-11 |
| 1396969515 | Jeff Collins | Dentist | 216 East Wardell Rd, Pembroke, NC 28372 | 2007-04-11 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| 1922182963 | Joy K O'keeffe | Dentist | 752 Washington St, Suite #15, Pembroke, MA 02359-2311 | 2006-10-25 |
| 1699888362 | George R. Kepner | Dentist | 66 Center St., Pembroke, MA 02359-0338 | 2006-08-16 |
| 1083650881 | Collins & Sampson Dds Pa | Dentist | 312 E. Wardell Rd, Pembroke, NC 28372-9262 | 2006-06-21 |
| Find all providers in PEMBROKE | ||||
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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.