DEVIN CLARK, DDS, PLLC (NPI# 1992336127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992336127 |
| Entity Type | Organization |
| Organization Name | DEVIN CLARK, DDS, PLLC |
| Practice Address |
617 Cemetery Rd Ste A Winlock WA 98596-9303 |
| Mailing Address |
Po Box 399 Winlock WA 98596-0399 |
| Practice Telephone | 3607854655 |
| Practice Fax Number | 3607853336 |
| Mailing Telephone | 3607854755 |
| Mailing Fax Number | 3607853336 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | DR. DEVIN CLARK (OWNER/MEMBER) |
| Authorized Official Telephone | 8018083375 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Winlock Family Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DEVIN CLARK, DDS, PLLC. | 617 Cemetery Rd, Winlock, WA 98596-9303 |
| Street Address |
617 CEMETERY RD STE A |
| City | WINLOCK |
| State | WA |
| Zip Code | 98596-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003467705 | Dione Schubach, Ps | Optometrist | 118 Se 1st St, Winlock, WA 98596 | 2019-09-24 |
| 1770857971 | Shannon Rae Blair | Massage Therapist | 103 Se First Street, Winlock, WA 98596 | 2012-03-06 |
| 1144499351 | Chuen Y Wong | Eyewear Supplier (Equipment, not the service) | 118 Se First Street, Winlock, WA 98596 | 2008-02-22 |
| 1447466750 | Joanne Charlotte Cobbs | Massage Therapist | 839 King Road, Pob 411, Winlock, WA 98596 | 2007-05-15 |
| 1841285822 | Chuen Y. Wong | Optometrist | 118 Se 1st St, Winlock, WA 98596 | 2005-09-15 |
| 1144767989 | Faith Fischer-whaley | Massage Therapist | 114 Topaz Ct, Winlock, WA 98596-9119 | 2017-01-31 |
| 1134501844 | Karyn Mai, Dds, Pllc | Dentist | 617 Cemetery Rd, Winlock, WA 98596-9303 | 2015-06-18 |
| 1851712913 | Tracy Cagle | Specialist | 566 Cemetery Rd, Winlock, WA 98596-9303 | 2013-12-16 |
| 1811299696 | Howard Wayland Welsh | Registered Nurse | 615 Cemetery Rd, Winlock, WA 98596-9303 | 2010-11-29 |
| 1679772602 | Richard W. Shepherd | Dentist | 617 Cemetary Rd, Winlock, WA 98596-9303 | 2007-07-11 |
| Find all providers in zip 98596 | ||||
| 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 |
|---|---|---|---|---|
| 1134501844 | Karyn Mai, Dds, Pllc | Dentist | 617 Cemetery Rd, Winlock, WA 98596-9303 | 2015-06-18 |
| 1679772602 | Richard W. Shepherd | Dentist | 617 Cemetary Rd, Winlock, WA 98596-9303 | 2007-07-11 |
| 1255647434 | Winlock Family Dentistry | Dentist | 617 Cemetary Rd, Winlock, WA 98596-9303 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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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.