DR. MARTIN BLOCH CLARK (NPI# 1154772085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154772085 |
| Entity Type | Individual |
| Full Name | DR. MARTIN BLOCH CLARK |
| Credential | D.M.D |
| Practice Address |
602 Pointe North Blvd Albany GA 31721-1513 |
| Practice Telephone | 2294326751 |
| Practice Fax Number | 2294325918 |
| Mailing Telephone | 2294326751 |
| Mailing Fax Number | 2294325918 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN015196 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770685067 | Martin Vincent Clark Jr. | Dentist | 3000 Twatchman Dr, Raleigh, NC 27616-8926 | 2006-09-05 |
| 1447256367 | Martin James Clark | Dentist | 4185 Technology Forest Blvd, Suite 100, The Woodlands, TX 77381-2006 | 2005-06-24 |
| 1861471153 | Martin Thomas Clark | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2006-01-13 |
| Street Address |
602 POINTE NORTH BLVD |
| City | ALBANY |
| State | GA |
| Zip Code | 31721-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801354139 | Quintavius Martin | Physical Therapy Assistant | 2933 Stonewater Drive, Albany, GA 31721 | 2019-03-05 |
| 1851809180 | Dialysis Clinic Inc | Clinic/Center | 650 Pointe North Blvd, Albany, GA 31721 | 2018-01-22 |
| 1336668961 | Muntaisha Shunquill Ross | Contractor | 3718 Mayfair Lane, Apt B, Albany, GA 31721 | 2017-09-14 |
| 1861942252 | Winifred Davis | Contractor | 407 Wiregrass Way, Albany, GA 31721 | 2016-10-10 |
| 1023347937 | Southwest Oral and Maxillofacial Surgery,llc | Dentist | 620 Pointe North Boulevard, Albany, GA 31721 | 2009-12-24 |
| 1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
| 1124147608 | Jeffrey R Singleton | Dentist | 602 Pointe North Blvd., Albany, GA 31721 | 2007-03-28 |
| 1508921883 | Thomas William Monahan IIi | Dentist | 609 Pointe North Blvd, Albany, GA 31721 | 2006-12-27 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| 1316459795 | Angela Anglin Stevens | Nurse Practitioner | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2017-10-25 |
| Find all providers in zip 31721 | ||||
| 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 |
|---|---|---|---|---|
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1447628516 | Ashley Chan | Dentist | 545 Pierce St Apt 1109, Albany, CA 94706-1048 | 2015-09-08 |
| 1174918031 | Ru-mee Han | Dentist | 12 California Ave, Apt. B510, Albany, NY 12205-2850 | 2015-03-30 |
| 1629470919 | St. Peter's Hospitalof The City of Albany | Dentist | 1092 Madison Avenue, Albany, NY 12208-2248 | 2014-09-18 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1447693064 | Ross Henry Thomas IIi | Dentist | 473 Kingswood Ct, Albany, GA 31707-3062 | 2013-04-12 |
| 1154663573 | Robert Michael Deitz | Dentist | 272 New Scotland Ave, Albany, NY 12208-3116 | 2013-03-24 |
| 1952655581 | Mh Orthodontics | Dentist | 1030 W Gordon Ave Ste A, Albany, GA 31701-4515 | 2012-11-05 |
| 1902152861 | John Frank Rymanowski | Dentist | 3 Birch Hill Rd, Albany, NY 12211-2003 | 2012-07-30 |
| Find all providers in ALBANY | ||||
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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.