CLARK D JEFFRIES (NPI# 1871662742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871662742 |
| Entity Type | Individual |
| Full Name | CLARK D JEFFRIES |
| Credential | GENERAL DENTIST |
| Practice Address |
300 S Market St Martinsburg PA 16662-1004 |
| Mailing Address |
205 E Christiana St Martinsburg PA 16662-1221 |
| Practice Telephone | 8147932713 |
| Mailing Telephone | 8147932713 |
| Enumeration Date | 2006-11-07 |
| 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 |
DS030843L | PA | Dental Providers |
| Street Address |
300 S MARKET ST |
| City | MARTINSBURG |
| State | PA |
| Zip Code | 16662-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104274711 | Douglas Christopher Kurtz | Student in an Organized Health Care Education/Training Program | 300 S Market St, Martinsburg, PA 16662-1004 | 2016-05-25 |
| 1851461800 | Douglas C Kurtz | Dentist | 300 S Market St, Martinsburg, PA 16662-1004 | 2006-11-08 |
| 1356410005 | Paul C Hammaker | Dentist | 300 S Market St, Martinsburg, PA 16662-1004 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255498978 | Murray S Smith Family and Laser Dentistry Inc | Dentist | 210 E Allegheny St, Martinsburg, PA 16662 | 2007-01-02 |
| 1285867648 | Collin Amanda Thompson | Occupational Therapist | 429 S Market St, Martinsburg, PA 16662 | 2009-09-01 |
| 1891082251 | The Village At Morrisons Cove | Hospice Care, Community Based | 439a S Market St, Martinsburg, PA 16662-1005 | 2011-07-06 |
| 1962433797 | The Village At Morrisons Cove | Skilled Nursing Facility | 429 S Market St, Martinsburg, PA 16662-1005 | 2006-07-06 |
| 1164071460 | Jessica Ann Dix | Physical Therapist | 429 S Market St, Martinsburg, PA 16662-1005 | 2019-09-09 |
| 1346807849 | Alexander Ayonbo Oboro | Nurse Practitioner | 429 S Market St, Martinsburg, PA 16662-1005 | 2019-05-21 |
| 1003471012 | The Village At Morrisons Cove | Internal Medicine | 429 S Market St, Martinsburg, PA 16662-1005 | 2019-05-06 |
| 1487116661 | Ryan Spiker | Physical Therapist | 429 S Market St, Martinsburg, PA 16662-1005 | 2019-04-04 |
| 1568834745 | Michael R Pacifico | Occupational Therapist | 429 S Market St, Martinsburg, PA 16662-1005 | 2015-10-27 |
| 1275903858 | The Village At Morrisons Cove | In Home Supportive Care | 429 S Market St, Martinsburg, PA 16662-1005 | 2015-09-25 |
| Find all providers in zip 16662 | ||||
| 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 |
|---|---|---|---|---|
| 1508344979 | Emily Bays Muller | Dentist | 143 Crimson Cir, Martinsburg, WV 25403-6609 | 2018-07-29 |
| 1134509870 | Gabrielle Helms | Dentist | 58 Warm Springs Ave., Martinsburg, WV 25404 | 2015-06-08 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1093104259 | Murray Stephen Smith | Dentist | 255 Sonoma Ln, Martinsburg, PA 16662-8156 | 2015-01-12 |
| 1760811061 | James Snyder | Dentist | 739 Winchester Ave, Martinsburg, WV 25401-2103 | 2013-11-06 |
| 1295062719 | Shenandoah Valley Medical Systems, Inc. | Dentist | 614 Warm Springs Avenue, Martinsburg, WV 25404 | 2009-11-04 |
| 1235333436 | Robert Scott Leonard | Dentist | 103 South Tennessee Ave, Martinsburg, WV 25401 | 2007-06-12 |
| 1568682276 | Randolph Terry Evans | Dentist | 22 Sierra Drive, Martinsburg, WV 25403-1133 | 2007-04-26 |
| 1538295381 | Kimberly Paige Smith | Dentist | 58 Warm Springs Ave, Martinsburg, WV 25404-3800 | 2007-02-26 |
| 1649348665 | James Gregg Gibson | Dentist | 2001 Professional Ct, Martinsburg, WV 25401-8808 | 2006-11-30 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 16662 |
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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.