DR. LINDBERG CLARK (NPI# 1568439107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568439107 |
| Entity Type | Individual |
| Full Name | DR. LINDBERG CLARK |
| Credential | DMD |
| Practice Address |
15024 Martin Luther King Jr Blvd Gulfport MS 39501 |
| Mailing Address |
Po Box 475 Biloxi MS 39533 |
| Practice Telephone | 2288640003 |
| Practice Fax Number | 2288648553 |
| Mailing Telephone | 2283742494 |
| Mailing Fax Number | 2283742713 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 204683 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0060061 | 05 |
| Street Address |
15024 MARTIN LUTHER KING JR BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| 1477010866 | Sabrina V Barnett | Family Medicine | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2019-02-21 |
| 1265960553 | Rebekah Faith Daniels | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2017-05-31 |
| 1992152979 | Lindsey Vining | Social Worker | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2016-05-19 |
| 1922409531 | Theresa Foley | Social Worker | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2014-09-15 |
| 1578826558 | Erin Fox | Pediatrics | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2012-06-24 |
| 1124288501 | Coastal Family Health Center | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2008-06-10 |
| 1982783759 | Donna Schmitt | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2006-11-03 |
| 1083714612 | Jonette Scott | Pediatrics | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2006-09-24 |
| 1841220357 | Coastal Family Health Center, Inc. | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39503 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| 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 |
|---|---|---|---|---|
| 1093128894 | James Patton Webb II | Dentist | 15503 Oak Ln # 300b, Gulfport, MS 39503-2697 | 2014-06-09 |
| 1134552623 | Raeline K. Mcintyre, Dmd, P.C. | Dentist | 505 Cowan Rd, Gulfport, MS 39507-2024 | 2013-08-20 |
| 1205136785 | Lauren Michelle Bolton | Dentist | 1708 E Pass Rd, Gulfport, MS 39507-3528 | 2010-10-29 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1396976643 | Guido Sutter | Dentist | 19441 Pinehurst Pl. E., Gulfport, MS 39503-8455 | 2009-08-05 |
| 1700089810 | Gulf Coast Dental Center | Dentist | 3118 15th St, Gulfport, MS 39501-2708 | 2007-06-06 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| 1508995879 | Johnathon Beaux Mccormick Sr. | Dentist | 3506 Washington Ave Ste I, Gulfport, MS 39507-3102 | 2007-03-05 |
| 1366514135 | John Reagan Hall | Dentist | 2216 17th St, Gulfport, MS 39501-2901 | 2006-11-15 |
| Find all providers in GULFPORT | ||||
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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.