DR. ROBERT JOSEPH CLARK (NPI# 1053432633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053432633 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOSEPH CLARK |
| Credential | DDS |
| Practice Address |
5323 Brainerd Rd Ste 105 Chattanooga TN 37411-5305 |
| Practice Telephone | 4234851000 |
| Practice Fax Number | 4234851233 |
| Mailing Telephone | 4234851000 |
| Mailing Fax Number | 4234851233 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | TNDS002676 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 2003061 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1275659971 | Robert Clark | Anesthesiology | 7044 Sandy Hill Way, Holland, OH 43528-8088 | 2007-03-22 |
| Street Address |
5323 BRAINERD RD STE 105 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| Find all providers in zip 37411 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428893 | Davis Family Dental Care | Dentist | 7003 Shallowford Rd Ste 101, Chattanooga, TN 37421-6722 | 2019-10-10 |
| 1477112621 | Lawrence Songyuan Lu | Dentist | 1421 Armour St, Chattanooga, TN 37412-2812 | 2019-06-11 |
| 1548703945 | Emerald Dental Pllc | Dentist | 1515 Gunbarrel Rd Ste 126, Chattanooga, TN 37421-0001 | 2016-12-02 |
| 1316390206 | Andrea C Marable | Dentist | 8021 E Brainerd Rd, Chattanooga, TN 37421-3206 | 2016-07-15 |
| 1043662778 | Jesse Ellsworth | Dentist | 4972 Highway 58, Suite 114, Chattanooga, TN 37416-1867 | 2016-07-06 |
| 1053770800 | Alani Dental Center | Dentist | 1825 Gunbarrel Rd, Suite 400b, Chattanooga, TN 37421-3130 | 2016-02-22 |
| 1376902809 | Facial Dental Center, P.C. | Dentist | 1720 Gunbarrel Rd Ste 310, Chattanooga, TN 37421-3192 | 2016-02-11 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1497181903 | Nisha Bhanu Patel | Dentist | 7003 Shallowford Rd Ste 202, Chattanooga, TN 37421 | 2013-09-17 |
| 1225479926 | Jennifer Flanagan Cole | Dentist | 313 Manufacturers Rd, Suite 207, Chattanooga, TN 37405-3274 | 2013-07-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
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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.