RDEAN CLARK (NPI# 1003977620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003977620 |
| Entity Type | Individual |
| Full Name | RDEAN CLARK |
| Practice Address |
575 East University Parkway Suite A24 Orem UT 84058 |
| Practice Telephone | 8012253300 |
| Mailing Telephone | 8012253300 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Y76242 | UT | Dental Providers |
| Street Address |
575 EAST UNIVERSITY PARKWAY SUITE A24 |
| City | OREM |
| State | UT |
| Zip Code | 84058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174818629 | Benjamin Ronald Frandsen | Dentist | 1375 E 800 N Ste 101, Orem, UT 84097-4436 | 2011-06-13 |
| 1386846665 | Steven N Arnold | Dentist | 419 N Orem Blvd, Orem, UT 84057-8813 | 2007-05-31 |
| 1013135961 | Robert Ryan Taylor | Dentist | 1692 N State St, Orem, UT 84057-2542 | 2007-04-23 |
| 1144370024 | Scott Nord | Dentist | 291 E University Pkwy, Orem, UT 84058-7638 | 2007-01-11 |
| 1700965357 | Wade Daines Thompson | Dentist | 380 W Center St, Orem, UT 84057-4659 | 2006-11-03 |
| 1619989449 | Norman Green Jorgensen | Dentist | 560 S State St, Suite M-1, Orem, UT 84058-6354 | 2006-08-12 |
| 1811283369 | Scott C. Nord D.m.d M.s P.c | Dentist | 291 E University Pkwy, Orem, UT 84058-7638 | 2011-06-23 |
| 1336433937 | Wade D Thompson Dds Ms PC | Dentist | 380 W Center St, Orem, UT 84057-4659 | 2011-06-01 |
| 1093913741 | Lauren Dalzen | Dentist | 1375 E 800 N, Suite 101, Orem, UT 84097-4435 | 2007-07-04 |
| 1346442639 | Brian G Graf | Dentist | 419 N Orem Blvd, Orem, UT 84057-8813 | 2007-05-31 |
| Find all providers in OREM | ||||
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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.