TONY D CLARK (NPI# 1992874010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992874010 |
| Entity Type | Individual |
| Full Name | TONY D CLARK |
| Credential | D.M.D. |
| Practice Address |
526 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4025 |
| Practice Telephone | 8502443511 |
| Practice Fax Number | 8506640858 |
| Mailing Telephone | 8502443511 |
| Mailing Fax Number | 8506640858 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114192820 | Tony Allen Clark | Physical Therapist | 4251 W Cemetery Rd, Canyon, TX 79015-8226 | 2008-04-23 |
| 1659869659 | Tony Lee Clark | Registered Nurse | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2018-04-25 |
| Street Address |
526 MARY ESTHER CUT OFF NW |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| 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 |
|---|---|---|---|---|
| 1003471236 | Laya Sleep Clinic, LLC | Dentist | 348 Miracle Strip Pkwy Sw Ste 15a, Fort Walton Beach, FL 32548-5258 | 2019-05-02 |
| 1861909723 | Luisa F Carvajal | Dentist | 516 Mary Esther Cto Nw Ste 2, Fort Walton Beach, FL 32548-4025 | 2018-01-01 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1578865507 | Lisa Uyen K Le | Dentist | 314 Olympia Ct, Fort Walton Beach, FL 32547-1568 | 2010-11-24 |
| 1619198736 | John D. Hutchinson Enterprises, Inc. | Dentist | 816 Pinedale Rd, Fort Walton Beach, FL 32547-2484 | 2007-05-02 |
| 1881711992 | Douglas F Pohl | Dentist | 31 Perry Ave, Fort Walton Beach, FL 32548-5612 | 2007-03-23 |
| 1801913926 | Jos J Bakker | Dentist | 31 Perry Avenue, Fort Walton Beach, FL 32548-5612 | 2007-03-23 |
| 1043309883 | William Emory Preston Jr. | Dentist | 20 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2006-10-12 |
| 1487746673 | Elbert R Davis | Dentist | 201 Eglin Pkwy Se, Fort Walton Beach, FL 32548-5810 | 2006-09-28 |
| 1558360552 | Susan M Welch | Dentist | 106 Wright Pkwy Se, Fort Walton Beach, FL 32548 | 2005-07-20 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
Please comment or provide details below to improve the information on TONY D CLARK.
| 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.