DR. JAMES L CLARK, DDS (NPI# 1831601657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831601657 |
| Entity Type | Organization |
| Organization Name | DR. JAMES L CLARK, DDS |
| Practice Address |
116 E 14th St Ada OK 74820-6518 |
| Mailing Address |
Po Box 458 Ada OK 74821-0458 |
| Practice Telephone | 5802795760 |
| Mailing Telephone | 5802795760 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Authorized Official Name | LATISHA BOOTH (OFFICE MANAGER) |
| Authorized Official Telephone | 5802795760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4245 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | TEMP DENTIST | 1720161326 | 01 |
| Street Address |
116 E 14TH ST |
| City | ADA |
| State | OK |
| Zip Code | 74820-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427010172 | Bryan Dean Bratton | Dentist | 116 E 14th St, Ada, OK 74820-6518 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1093197881 | Samy Salhadar | Dentist | 7210 Headley St Se, Ada, MI 49301-9786 | 2015-06-29 |
| 1942620893 | Okc Dental Health Associates, P.C. | Dentist | 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 | 2014-04-18 |
| 1699927293 | Ada Family Dentistry Inc. | Dentist | 500 N Monte Vista St Ste 1, Ada, OK 74820-4670 | 2008-10-15 |
| 1841410834 | Robert D Lorenz | Dentist | 4760 Fulton St E, Suite 101, Ada, MI 49301-9097 | 2007-05-01 |
| 1841315215 | Bruce Alan Hall | Dentist | 931 Arlington St, Ste 3, Ada, OK 74820-4025 | 2007-03-21 |
| 1205971272 | Mark Winfield Weems | Dentist | 316 S Rennie St, Ada, OK 74820-6537 | 2007-02-20 |
| 1275626087 | Devin O'reilly Norman | Dentist | 517 Ada Dr Se, Ada, MI 49301-9024 | 2006-10-02 |
| 1346346913 | Billy T Morgan IIi | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-09-15 |
| 1588779524 | Brian Damian Coerver | Dentist | 1401 Arlington, Ada, OK 74820-2636 | 2006-08-20 |
| 1467463471 | Ron Gene Walkup | Dentist | 311 S Rennie St, Ada, OK 74820-6536 | 2006-08-11 |
| Find all providers in ADA | ||||
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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.