DR. JAMES W. CLARK (NPI# 1770501793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770501793 |
| Entity Type | Individual |
| Full Name | DR. JAMES W. CLARK |
| Credential | D.D.S., M.S. |
| Practice Address |
3100 E Eisenhower Pkwy Suite 200 Ann Arbor MI 48108-5205 |
| Practice Telephone | 7349713368 |
| Practice Fax Number | 7349713979 |
| Mailing Telephone | 7349713368 |
| Mailing Fax Number | 7349713979 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10113 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240036 | James Daniel Clark | Clinical Nurse Specialist | 1325 Sanders Dr, Laramie, WY 82070-8204 | 2020-09-17 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1225595614 | James Colbert Clark IIi | Specialist/Technologist | 11 Aventura Ct, Randallstown, MD 21133-4330 | 2019-02-21 |
| 1609389832 | James Thomas Clark | Contractor | 11460 Old Mill Rd, Spencer, OH 44275-9582 | 2017-11-09 |
| 1124427067 | James William Clark | Dentist | 2825 Se 45th St, Ocala, FL 34480-7225 | 2014-08-16 |
| 1306267406 | James Clark | Pharmacist | 11307 Roszell St, San Antonio, TX 78217-2511 | 2013-12-17 |
| 1720322795 | James Timothy Clark | Hearing Instrument Specialist | 724 Perry Ave, Big Rapids, MI 49307-2200 | 2012-11-15 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| Street Address |
3100 E EISENHOWER PKWY SUITE 200 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962473637 | Roger Anderberg | Pediatrics | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-01-30 |
| 1558845123 | Kirsten J Henshaw | Dentist | 3100 E Eisenhower Pkwy, Ann Arbor, MI 48108-5205 | 2018-09-19 |
| 1013379890 | Mimika Stefos | Dentist | 3100 E Eisenhower Pkwy, #300, Ann Arbor, MI 48108-5205 | 2016-03-22 |
| 1306014816 | Ann Arbor Dental Specialists | Dentist | 3100 E Eisenhower Pkwy, Suite 200, Ann Arbor, MI 48108-5205 | 2008-02-19 |
| 1972641512 | Janice Grichor | Dietitian, Registered | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2007-02-04 |
| 1528111077 | Patricia Hall | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2007-01-19 |
| 1427121060 | Madelyn Mcmurtrie | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-11-15 |
| 1891893855 | Virginia Bareham | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-09-20 |
| 1568560605 | Vicki Zilke | Nurse Practitioner | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-09-20 |
| 1114939931 | Steven Popper | Pediatrics | 3100 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5205 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| 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 |
|---|---|---|---|---|
| 1699894576 | Raymond Anthony Maturo | Dentist | 2074 S Main St, Ann Arbor, MI 48103-6962 | 2007-03-29 |
| 1982685590 | Kay Louise Wilson | Dentist | 1303 Packard St, Suite #301, Ann Arbor, MI 48104-3874 | 2005-11-10 |
| 1144768904 | Rosemary K Tran | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2017-02-01 |
| 1114300811 | Ann Arbor Pediatric Dentistry Pllc | Dentist | 2074 S Main St, Ann Arbor, MI 48103-6962 | 2015-06-30 |
| 1043608003 | Tree Town Pediatric Dentistry Pllc | Dentist | 1303 Packard St, Suite #301, Ann Arbor, MI 48104-3874 | 2014-12-29 |
| 1427461383 | Heather Marie Hoffman | Dentist | 1795 W Stadium Blvd, Ann Arbor, MI 48103-5290 | 2014-06-09 |
| 1780006965 | Max Louis Auer | Dentist | 2074 S Main St, Ann Arbor, MI 48103-5827 | 2014-01-07 |
| 1730520214 | Harneet Grewal | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2013-07-11 |
| 1306289137 | Hiba Kattan | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2013-04-11 |
| 1669781407 | Youngjoo Elaine Kim | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2010-09-28 |
| Find all providers in ANN ARBOR | ||||
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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.