ADAM M CLARK (NPI# 1003086224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003086224 |
Entity Type | Individual |
Full Name | ADAM M CLARK |
Credential | DMD |
Practice Address |
1416 Ashley River Rd Atlantic Aesthetics Charleston SC 29407-5306 |
Practice Telephone | 8437690488 |
Practice Fax Number | 8437690428 |
Mailing Telephone | 8437690488 |
Mailing Fax Number | 8437690428 |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
3728545 | SC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114462280 | Adam Merritt Clark | Perfusionist | 5009 Boulder Creek Ln, Raleigh, NC 27613-6075 | 2016-12-28 |
1669469342 | Adam Clark | Pharmacist | 1920 Ne 7th Ter, Gainesville, FL 32609-3749 | 2005-09-29 |
1679571160 | Adam N Clark | Specialist | 850 W. H. Smith Blvd., Greenville, NC 27834-3763 | 2005-07-08 |
1407499478 | Adam Clark | Psychologist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2019-10-23 |
1700431749 | Adam Clark | Optometrist | 341 W Tudor Rd Ste 101, Anchorage, AK 99503-6639 | 2019-08-06 |
1568955797 | Adam Clark | Behavior Technician | 1112 S Broadway, Santa Maria, CA 93454-6608 | 2018-06-12 |
1699276287 | Adam Clark | Social Worker | 790 E 5th St, Coquille, OR 97423-1755 | 2018-02-28 |
1083138473 | Adam Thomas Clark | Physical Therapist | 12935 Shelbyville Rd Ste 106, Louisville, KY 40243-1592 | 2017-07-27 |
1861940728 | Adam Clark | Behavioral Analyst | 120 Laurel St, Duxbury, MA 02332-2936 | 2016-09-20 |
1861865610 | Adam Bradley Clark | Family Medicine | 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065-1550 | 2015-11-02 |
Street Address |
1416 ASHLEY RIVER RD ATLANTIC AESTHETICS |
City | CHARLESTON |
State | SC |
Zip Code | 29407-5306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
Find all providers in zip 29407 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
1396816328 | James Arnold Rivers | Dentist | 173 Ashley Ave # 545, Charleston, SC 29425-0001 | 2006-11-13 |
1871664805 | Monica Johnson Cayouette | Dentist | 173 Ashley Ave # 546, Charleston, SC 29425-0001 | 2006-11-13 |
1710059241 | Peter Kobes | Dentist | 173 Ashley Ave, Bsb 546, Charleston, SC 29425 | 2006-11-13 |
1083747877 | Stephen William Malley | Dentist | 173 Ashley Ave, Bsb 547, Charleston, SC 29425-0001 | 2007-03-13 |
1508967324 | Timothy Michael Dowd | Dentist | 109 Bee Street, Dental Service 160, Charleston, SC 29439 | 2006-09-26 |
1467455337 | Ryne Steven Johnson | Dentist | 109 Bee St, Charleston, SC 29401-5703 | 2005-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649818048 | Safa Tahmasebi | Dentist | 481 Munn Rd Ste 100, Fort Mill, SC 29715-0014 | 2019-12-16 |
1336657386 | Candice Marie Vinson | Dentist | 1149 Oakland Market Rd, Mount Pleasant, SC 29466-8220 | 2018-01-11 |
1831580620 | Bryan A Lara | Dentist | 110 Auston Woods Cir, Apt U, Easley, SC 29640-4301 | 2015-02-15 |
1497146906 | Palmetto Prosthodontics, LLC | Dentist | 145 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2015-02-05 |
1255631214 | Steven Gordon Lewis | Dentist | 481 Munn Rd, Suite 100, Fort Mill, SC 29715-8408 | 2010-10-25 |
1598929408 | Mayur Mahendra Patel | Dentist | 682 Johnnie Dodds Blvd, Suite 102, Mt Pleasant, SC 29464-3028 | 2008-07-10 |
1295999100 | Kenneth Steven Barrack | Dentist | 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, SC 29464-3028 | 2008-07-10 |
1487812327 | Virgil Vacarean | Dentist | 25 Clark Summit Dr Ste 100, Bluffton, SC 29910-4999 | 2008-05-28 |
1457554974 | Stephen Patrick Schoen | Dentist | 10 Enterprise Boulevard, Suite 103, Greenville, SC 29615 | 2007-06-11 |
1932329182 | John A Crumpton Dmd Pa | Dentist | 36 Roper Corners Circle, Greenville, SC 29615 | 2007-04-30 |
Find all providers with the same taxonomy |
City | CHARLESTON |
Zip Code | 29407 |
Please comment or provide details below to improve the information on ADAM M 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.