DR. DANIEL CLARK (NPI# 1104288265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104288265 |
| Entity Type | Individual |
| Full Name | DR. DANIEL CLARK |
| Credential | DDS |
| Practice Address |
707 Parnassus Ave Box 0762 San Francisco CA 94143-2210 |
| Mailing Address |
1240 14th Ave #301 San Francisco CA 94122-2159 |
| Practice Telephone | 4154761731 |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2901021782 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771955 | Daniel Lee Clark | Contractor | 2151 Harvey Mitchell Pkwy S Ste 227, College Station, TX 77840-5242 | 2020-02-11 |
| 1043613649 | Daniel Clark | Nurse Practitioner | 3451 Bald Mountain Rd, Lake Orion, MI 48360-2401 | 2014-09-27 |
| 1124212345 | Daniel Curtis Clark | Chiropractor | 860 E. Remington Drive, Suite C, Sunnyvale, CA 94087-2913 | 2007-08-30 |
| 1619168796 | Daniel W Clark | Psychologist | 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 | 2007-08-05 |
| 1275757130 | Daniel Charles Clark | Social Worker | 3829 S Duquesne Rd, Joplin, MO 64804-5409 | 2007-04-12 |
| 1851308472 | Daniel John Clark | Dentist | 624 S High St, Hillsboro, OH 45133 | 2006-08-03 |
| 1184669210 | Daniel Stewart Clark | Chiropractor | 41060 Hayes Road, Clinton Township, MI 48038 | 2006-06-20 |
| 1548219256 | Daniel M Clark | Obstetrics & Gynecology | 4333 S Lowes Creek Rd, Eau Claire, WI 54701-7405 | 2006-05-09 |
| 1225093891 | Daniel Curtis Clark | Psychologist | 3196 Parliament Cir, Suite 400, Montgomery, AL 36116-7271 | 2006-04-18 |
| 1700487360 | Daniel Clark | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-02 |
| Street Address |
707 PARNASSUS AVE BOX 0762 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815513 | Aparna Aghi | Dentist | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2005-10-18 |
| 1306465190 | Miguel Deleon | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2020-04-11 |
| 1275161135 | Curtis Hien Le | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2020-03-27 |
| 1518593649 | Kelly Ren | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2020-03-20 |
| 1861028490 | Khrystal Audi | Student in an Organized Health Care Education/Training Program | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2020-03-15 |
| 1023643301 | Avery Marc Lieberman | Dentist | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2020-03-07 |
| 1588298939 | Christine Tran | Dentist | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2020-02-25 |
| 1609417484 | Tsegazeab Gessese | Dentist | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2019-10-03 |
| 1891345112 | Michael Pedram | Dentist | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2019-09-18 |
| 1033764592 | Lauren Hanna Frisch | Dentist | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2019-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508359902 | L Swayamprakasam Dds Corp | Dentist | 1550 Lombard St, San Francisco, CA 94123-3154 | 2018-06-11 |
| 1720427651 | Nicole Olivares | Dentist | 450 Sutter St Rm 1314, San Francisco, CA 94108-4002 | 2013-06-25 |
| 1578827226 | Jeff Takai | Dentist | 882 Presidio Ave, San Francisco, CA 94115-2921 | 2012-06-27 |
| 1356624175 | Sohyun Park | Dentist | 450 Sutter St Rm 2400, San Francisco, CA 94108-4203 | 2011-09-28 |
| 1114218153 | Joyce Yi-tzy Cheng | Dentist | 1356 3rd Ave, San Francisco, CA 94122-2719 | 2011-04-25 |
| 1376832337 | John Bigelow Hartman | Dentist | 685 Commercial St, San Francisco, CA 94111-2503 | 2011-03-30 |
| 1962720433 | Christina Gasper | Dentist | 450 Sutter St Rm 2336, San Francisco, CA 94108-4202 | 2010-05-09 |
| 1881856383 | Jung Sun Han | Dentist | 170 King St, Suite 105, San Francisco, CA 94107-1917 | 2008-06-26 |
| 1760682074 | Thomas Ridge Baker | Dentist | 450 Sutter St Rm 1935, San Francisco, CA 94108-4107 | 2007-07-24 |
| 1801095104 | Eric Engert | Dentist | 450 Sutter St Rm 2326, San Francisco, CA 94108-4202 | 2007-07-16 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
Please comment or provide details below to improve the information on DR. DANIEL 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.