DR. CLARK CRANFILL (NPI# 1508480559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508480559 |
| Entity Type | Individual |
| Full Name | DR. CLARK CRANFILL |
| Credential | DDS |
| Practice Address |
1400 37th St Evans CO 80620-1906 |
| Mailing Address |
2930 11th Ave Evans CO 80620-1011 |
| Practice Telephone | 9703481112 |
| Practice Fax Number | 9703481134 |
| Mailing Telephone | 9703504606 |
| Mailing Fax Number | 9703504645 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
00000030 | CO | Dental Providers |
| Street Address |
1400 37TH ST |
| City | EVANS |
| State | CO |
| Zip Code | 80620-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811295264 | Sunrise Community Health | Clinic/Center | 1400 37th St, Evans, CO 80620-1906 | 2011-03-09 |
| 1902317274 | Sunrise Community Health | Dentist | 1400 37th St, Evans, CO 80620-1906 | 2017-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
| 1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
| 1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
| 1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
| 1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
| 1316430812 | Niki Avery Pediatric Pt LLC | Physical Therapist | 1050 37th St, Evans, CO 80620 | 2018-06-08 |
| 1336474584 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620 | 2009-10-06 |
| 1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
| 1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
| 1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
| Find all providers in zip 80620 | ||||
| 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 |
|---|---|---|---|---|
| 1770101131 | Fatima Hassan | Dentist | 722 Bonnie Oaks Ln, Evans, GA 30809-6114 | 2020-07-11 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1144515305 | Evans Dental Group, LLC | Dentist | 4250-2 Washington Road, Evans, GA 30809 | 2011-06-16 |
| 1013132521 | Ruth Ann D'arco | Dentist | 345 N Belair Rd, Evans, GA 30809-3096 | 2007-04-17 |
| 1346309770 | Linda K Meister | Dentist | 655 N Belair Rd, Evans, GA 30809 | 2006-12-08 |
| 1821188343 | Adrian Todd Weaver | Dentist | 4174 Mullikin Rd, Evans, GA 30809-4806 | 2006-10-13 |
| 1134132939 | Celia P. Dunn | Dentist | 584 Blue Ridge Dr, Evans, GA 30809-3604 | 2006-08-14 |
| 1073577912 | Jacqueline Ijeoma Ojimba | Dentist | 104 N. Belair Road, Suite 102, Evans, GA 30809 | 2006-04-17 |
| 1306817432 | Evans Dental Group, PC | Dentist | 4250 Washington Rd, Evans, GA 30809-3087 | 2006-01-27 |
| 1104443381 | Evans Family Dental Care, LLC | Dentist | 584 Blue Ridge Dr, Evans, GA 30809-3604 | 2020-07-03 |
| Find all providers in EVANS | ||||
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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.