DR. SALLY ANN KEESE CLARK (NPI# 1124227335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124227335 |
| Entity Type | Individual |
| Full Name | DR. SALLY ANN KEESE CLARK |
| Credential | D.D.S. |
| Practice Address |
602 Jennings Ave Hot Springs SD 57747-1691 |
| Mailing Address |
Po Box 970 Hot Springs SD 57747-0970 |
| Practice Telephone | 6057453975 |
| Mailing Telephone | 6057453975 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D0630 | SD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498211 | Sally A Clark | Marriage & Family Therapist | 2462 Alvin St, Mountain View, CA 94043 | 2020-05-18 |
| 1700425311 | Sally E. Clark | Acupuncturist | 71 Old Mill Bottom Rd N Ste 102, Annapolis, MD 21409-5446 | 2019-12-30 |
| 1295278984 | Sally Clark | Nurse Practitioner | 7615 Highway 70 S, Nashville, TN 37221-1854 | 2016-11-29 |
| 1942441928 | Sally Marie Clark | Speech-Language Pathologist | 2820 Columbiana Rd, Ste 210, Birmingham, AL 35216-2589 | 2009-03-20 |
| 1477970275 | Sally Anne Clark | Registered Nurse | 145 E Cheves St, Florence, SC 29506-2526 | 2014-03-19 |
| 1851617443 | Sally A. Clark | Social Worker | 109 Ford St, Ogdensburg, NY 13669-1419 | 2010-04-08 |
| Street Address |
602 JENNINGS AVE |
| City | HOT SPRINGS |
| State | SD |
| Zip Code | 57747-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043394265 | Massa Dental Offices, PC | Dentist | 602 Jennings Ave, Hot Springs, SD 57747-1691 | 2006-10-24 |
| 1720132020 | Donald L Massa | Dentist | 602 Jennings Ave, Hot Springs, SD 57747-1691 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
| 1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
| 1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
| 1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
| 1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
| Find all providers in zip 57747 | ||||
| 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 |
|---|---|---|---|---|
| 1053842716 | Rosa G Wu | Dentist | 4403 Central Ave, Hot Springs, AR 71913-7253 | 2017-03-24 |
| 1609191352 | Brandon Kyle Benton | Dentist | 2220 Malvern Ave, Ste B, Hot Springs, AR 71901-8038 | 2010-04-06 |
| 1679736391 | Lindsey L Dolan Dds Pa | Dentist | 1685 Airport Road, Hot Springs, AR 71913 | 2008-07-02 |
| 1467573626 | Jack Clark Porter | Dentist | 1919 Malvern Ave, Hot Springs, AR 71901-7753 | 2007-04-03 |
| 1821114257 | Robert J. Barnett Jr. | Dentist | 102 Ridgeway St, Hot Springs, AR 71901-7100 | 2007-03-21 |
| 1952426744 | Walter Jay Frazee | Dentist | 807 W Grand Ave, Hot Springs, AR 71913-3528 | 2007-03-20 |
| 1558485805 | Walter J Frazee Dds Pa | Dentist | 807 West Grand Ave, Hot Springs, AR 71913 | 2007-03-19 |
| 1265569750 | Jeffrey Michael Plyler | Dentist | 101 Doris Ct, Hot Springs, AR 71913-4044 | 2007-02-28 |
| 1609918572 | Ocean Dental of Arkansas | Dentist | 221 Airport Road, Space G, Hot Springs, AR 71913 | 2007-02-13 |
| 1558412452 | Russell Mcclain Gorman | Dentist | 308 West St Louis St, Hot Springs, AR 71913-4406 | 2007-01-16 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 57747 |
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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.