CLARK ORTHODONTICS, INC.


Address: 650 W. Cherry St., Suite 5, North Liberty, IA 52317
Phone: 3196263161

CLARK ORTHODONTICS, INC. (NPI# 1891083002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891083002
Entity Type Organization
Organization Name CLARK ORTHODONTICS, INC.
Practice Address 650 W. Cherry St.
Suite 5
North Liberty
IA 52317
Practice Telephone 3196263161
Mailing Telephone 3196263161
Enumeration Date 2011-07-21
Last Update Date 2012-01-27
Authorized Official Name TANNER CLARK (PRESIDENT)
Authorized Official Telephone 3196263161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
08218 IA Dental Providers

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities CLARK ORTHODONTICS, INC. 650 W. Cherry St., Suite 5, North Liberty, IA 52317

Office Location

Street Address 650 W. CHERRY ST.
SUITE 5
City NORTH LIBERTY
State IA
Zip Code 52317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831186097 Sarah Elizabeth Clark Dentist 650 W. Cherry St., Suite 5, North Liberty, IA 52317 2005-10-04
1790734796 Tanner Jay Clark Dentist 650 W. Cherry St., Suite 5, North Liberty, IA 52317 2006-05-08

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1720443948 Sarah Gallagher Social Worker 320 W Cherry St, North Liberty, IA 52317 2015-12-15
1902279797 Emily Sara Logan Social Worker 1785 Curtis Bridge Road Ne, Okerberg and Associates, North Liberty, IA 52317 2015-11-03
1033515408 Ashley Sconzo Contractor 1695 N Jones Blvd Apt 2, North Liberty, IA 52317 2014-11-13
1679900146 Brianna June Clarahan Physical Therapist 1565 Cedar Springs Drive, North Liberty, IA 52317 2013-09-30
1649521121 Ben Cooper Jorgensen Dentist 550 Pond View Dr Ste 2, North Liberty, IA 52317 2012-09-25
1164629937 Mercy Physician Associates, Inc Family Medicine 1765 Lininger Lane, North Liberty, IA 52317 2007-06-27
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831186097 Sarah Elizabeth Clark Dentist 650 W. Cherry St., Suite 5, North Liberty, IA 52317 2005-10-04
1790734796 Tanner Jay Clark Dentist 650 W. Cherry St., Suite 5, North Liberty, IA 52317 2006-05-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629685722 Candid Iowa, P.C. Dentist 309 Court Ave Ste 815, Des Moines, IA 50309-2282 2020-09-23
1508482852 Elite Orthodontics LLC Dentist 222 Edgewood Road Nw, Cedar Rapids, IA 52405-4472 2020-06-23
1265906127 Brad Podray Orthodontics LLC Dentist 201 S Ankeny Blvd, Ankeny, IA 50023-3116 2019-01-14
1366952368 Holahan & Boe Orthodontics, Pllc Dentist 1013 Hudson Road, Cedar Falls, IA 50613 2017-10-04
1386172153 Louis Wenger Dentist 5890 Morning Star Court, Pleasant Hill, IA 50327 2017-05-24
1447786033 Michael Johnson Dentist 5429 Boulder Dr, West Des Moines, IA 50266-7260 2017-05-03
1356893283 Austin Prescott Foster Dentist 8515 Douglas Ave Ste 26, Urbandale, IA 50322-2927 2016-10-26
1063835569 Oliver Lee Willham Dentist 7400 Fleur Dr Ste 100, Des Moines, IA 50321-3105 2014-02-04
1831486356 Shankar Rengasamy Venugopalan Dentist 322 Dental Science Bldg. S, Iowa City, IA 52242-1001 2011-07-05
1457666232 Riverview Partners LLC Dentist 1111 Canal Shore Dr, Le Claire, IA 52753 2010-08-17
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Competitor

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City NORTH LIBERTY
Zip Code 52317

Improve Information

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Dataset Information

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.

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