DR. JESSICA MICHELLE CLARK (NPI# 1760794309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760794309 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MICHELLE CLARK |
| Other Name | DR. JESSICA MICHLLE CLARK |
| Credential | D.D.S. |
| Practice Address |
1300 Kempsville Rd Ste 5 Virginia Beach VA 23464-6199 |
| Practice Telephone | 7574677797 |
| Mailing Telephone | 7574677797 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6911 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1568962306 | Jessica Lee Clark | Registered Nurse | 6011 Cielo Rnch, San Antonio, TX 78218-4161 | 2018-02-19 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1942612296 | Jessica Clark | Case Management | 620 John Austin Ln, Mt Washington, KY 40047-6354 | 2014-05-21 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1740449719 | Jessica Lynn Clark | Dermatology | 12139 Panama City Beach Pkwy, Panama City Beach, FL 32407-2609 | 2008-06-05 |
| Street Address |
1300 KEMPSVILLE RD STE 5 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-6199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235642828 | Jessica M. Clark, Dds | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2017-11-06 |
| 1902261233 | Jessica M. Clark, Dds, P.C. | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467629048 | Bukola Oduyelu, Dds, PC | Dentist | 2264 London Bridge Rd, Virginia Beach, VA 23456-3903 | 2008-05-13 |
| 1811011042 | Townsend Brown Jr., D.d.s. | Dentist | 1300 Kempsville Road, Suite 5, Virginia Beach, VA 23464 | 2007-03-16 |
| 1568579399 | Scott H Rosenblum | Dentist | 1055 Kempsville Rd, Virginia Beach, VA 23464-5501 | 2006-08-25 |
| 1871535872 | Townsend Brown Jr. | Dentist | 1300 Kempsville Rd, Suite 5, Virginia Beach, VA 23464-6199 | 2006-06-12 |
| 1700840816 | Olubukunola A Oduyelu | Dentist | 2125 Mccomas Way, Suite 105, Virginia Beach, VA 23456-3986 | 2006-04-14 |
| 1235642828 | Jessica M. Clark, Dds | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2017-11-06 |
| 1902261233 | Jessica M. Clark, Dds, P.C. | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2015-12-31 |
| 1811300460 | Amy Namsupak | Dentist | 2100 Lynnhaven Pkwy, Suite 200, Virginia Beach, VA 23456-1492 | 2014-06-10 |
| 1477842243 | David J Herce | Dentist | 2100 Lynnhaven Pkwy, #200, Virginia Beach, VA 23456-1492 | 2011-04-01 |
| 1932277506 | Rosenblum, Levin, Barney & Hasty, Ltd | Dentist | 1055 Kempsville Rd, Virginia Beach, VA 23464-5501 | 2006-12-01 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
Please comment or provide details below to improve the information on DR. JESSICA MICHELLE 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.