DR. DAVID MATTHEW CLARK (NPI# 1902193253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902193253 |
| Entity Type | Individual |
| Full Name | DR. DAVID MATTHEW CLARK |
| Credential | DDS |
| Practice Address |
2180 E 4500 S Suite 250 Holladay UT 84117-4434 |
| Practice Telephone | 8012728609 |
| Mailing Telephone | 8012728609 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5606768-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
2180 E 4500 S SUITE 250 |
| City | HOLLADAY |
| State | UT |
| Zip Code | 84117-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735728 | Jayne Elizabeth Clark | Physical Medicine & Rehabilitation | 2180 E 4500 S, Suite #185, Holladay, UT 84117-4434 | 2005-07-27 |
| 1023623196 | Kaitlyn Shyanne Wininger | Massage Therapist | 2180 E 4500 S, Holladay, UT 84117-4434 | 2020-09-15 |
| 1538552617 | Monica Birth | Massage Therapist | 2180 E 4500 S, Suite 150-e, Holladay, UT 84117-4434 | 2015-03-12 |
| 1003225277 | Center for Counseling Excellence | Community/Behavioral Health | 2180 E 4500 S, Suite 105, Holladay, UT 84117-4434 | 2014-08-12 |
| 1730505520 | Upri East, LLC | Specialist | 2180 E 4500 S, 210, Holladay, UT 84117-4434 | 2014-03-17 |
| 1861817363 | Rebecca L Conde | Acupuncturist | 2180 E 4500 S, Ste 210, Holladay, UT 84117-4434 | 2014-02-20 |
| 1457774754 | Hh Wellness Group | Community/Behavioral Health | 2180 E 4500 S, Ste185, Holladay, UT 84117-4434 | 2014-01-23 |
| 1184046633 | Richard Hydo Iv | Social Worker | 2180 E 4500 S, Ste185, Holladay, UT 84117-4434 | 2014-01-16 |
| 1134559727 | Golden Health Services | Hospice Care, Community Based | 2180 E 4500 S, Ste 210 F, Holladay, UT 84117-4434 | 2013-11-18 |
| 1568809564 | Golden Health Services Inc | Home Health | 2180 E 4500 S, Suite 210f, Holladay, UT 84117-4434 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| 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 |
|---|---|---|---|---|
| 1528620390 | Kim-loan Nguyen | Dentist | 2200 E 4500 S Ste 100, Holladay, UT 84117-4032 | 2019-07-02 |
| 1477917458 | Oral Design Dental | Dentist | 4802 S Holladay Blvd, Holladay, UT 84117-5407 | 2016-04-06 |
| 1528251105 | Darin Arthur Dickerson | Dentist | 4888 S Highland Dr, Holladay, UT 84117-6007 | 2007-08-27 |
| 1861559122 | Brett Allen Stephens | Dentist | 4667 Holladay Boulevard, Suite 1, Holladay, UT 84117 | 2007-01-03 |
| 1346350170 | Jeffrey A. Hill | Dentist | 6556 S Big Cottonwood Canyon Rd, Suite 500, Holladay, UT 84121-3580 | 2006-08-30 |
| 1265448153 | David L Christensen | Dentist | 6065 Highland Dr, Suite 1, Holladay, UT 84121-1374 | 2006-07-31 |
| 1558985093 | Eric Norling | Dentist | 4888 S Highland Dr, Holladay, UT 84117-6007 | 2020-06-01 |
| 1669991451 | Precision Dental Care, Inc. | Dentist | 3950 S 2300 E, Holladay, UT 84124-1830 | 2017-09-13 |
| 1811265143 | Andrew G Ericksen | Dentist | 2160 E 4500 S Ste 3, Same, Holladay, UT 84117-4499 | 2011-12-01 |
| 1609027184 | Franklin Dean Allen Jr. | Dentist | 6065 Highland Dr, Suite 1, Holladay, UT 84121-1374 | 2008-10-02 |
| Find all providers in HOLLADAY | ||||
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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.