DR. BENJAMIN TODD CLARK (NPI# 1598743627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598743627 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN TODD CLARK |
| Credential | D.D.S. |
| Practice Address |
52 Medical Group Unit 3690 Apo AE 09126 |
| Practice Telephone | 3144523184 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
8412 | TN | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
24280 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 52 Medical Group, Unit 3690, Apo, AE 09126 | 3144523184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
| 1285189704 | Benjamin Clark | Physical Therapist | 4501 Main St Ste 5, Shallotte, NC 28470-4585 | 2016-08-25 |
| 1275931479 | Benjamin Brian Clark | Physical Therapist | 7909 Forrest Ave, Belton, MO 64012-5303 | 2014-12-22 |
| 1831400894 | Benjamin T Clark | Family Medicine | 35945 N Gary Rd, San Tan Valley, AZ 85143-5748 | 2010-06-24 |
| 1497708572 | Benjamin S Clark | Nurse Practitioner | 1861 Main Street, Sneedville, TN 37869 | 2006-05-18 |
| 1730680232 | Benjamin Jonah Clark | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2018-02-21 |
| 1851773196 | Benjamin Clark | General Practice | 3288 Moanalua Rd, Honolulu, HI 96819 | 2015-06-23 |
| 1699180448 | Benjamin Allen Clark | Dentist | 1220 N Washington Ave, Durant, OK 74701-2120 | 2014-06-30 |
| 1790105674 | Benjamin Joseph Clark | Internal Medicine | 6431 Fannin St, Houston, TX 77030-1501 | 2014-04-18 |
| 1326321811 | Benjamin Paul Clark | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2011-09-21 |
| Street Address |
52 MEDICAL GROUP UNIT 3690 |
| City | APO |
| State | AE |
| Zip Code | 09126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255883997 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | 52 Medical Group, Unit 3865 Building 550, Apo, AE 09126-3865 | 2016-10-28 |
| 1851787030 | Nolan Richard Carlile | Psychiatry & Neurology | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2015-04-14 |
| 1821481086 | Marie Anne Shidler | Dentist | 52 Medical Group, Unit 3690, Apo, AE 09126-3690 | 2015-03-12 |
| 1184987539 | Alison M Helfrich | Pediatrics | 52 Medical Group, Unit 3690, Apo, AA 09123-3690 | 2012-06-20 |
| 1912278276 | Jessica Combs | Psychologist | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2012-01-19 |
| 1497051080 | Matthew Scott Wimmer | Internal Medicine | 52 Medical Group, Unit 3690, Apo, AE 09126-3690 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699039990 | Massimiliano Tuveri | Transplant Surgery | Via Delle Rondini 15, Cagliari, CA 09126 | 2012-07-02 |
| 1225326200 | Rachel K Langley | Family Medicine | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2011-07-12 |
| 1548593932 | Morgan Bergman | Counselor | 52 Mdos/sgow, Unit 3690, Apo, AE 09126 | 2009-09-16 |
| 1518192327 | Terry Lynn Johnson | Military Health Care Provider | Spangdahlem Ab, 52 Mdos Unit 3865, Apo, AE 09126 | 2009-05-22 |
| 1649404906 | Matthew James Warters | Military Health Care Provider | 52 Amds Sgpf, Spangdahlem Air Base, RHEINLAND PFALZ 09126 | 2009-05-14 |
| 1619141686 | Donna Marie Burrowes | Counselor | 52 Mdg Unit 3690, Apo, AE 09126 | 2008-04-21 |
| 1962619296 | Katie M Ragan | Psychologist | 52 Mdos/sgot, Unit 3690, Apo, AE 09126 | 2007-05-17 |
| 1043426463 | Sylvia Jean Ringen | Social Worker | Psc 9 Unit 3690, 52 Mdos/sgohf, Apo, AE 09126 | 2007-05-15 |
| 1225189319 | Andrea L Loudermilk-shull | Speech-Language Pathologist | 52 Mdos/sgov, Unit 3690, Apo, AE 09126 | 2007-01-15 |
| 1013083005 | David Max Jones | Dentist | 52 Ds/cc, Unit 3866, Apo, AE 09126 | 2006-11-28 |
| Find all providers in zip 09126 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144369125 | Douglas Peter Olson | Dentist | Kadena Ab, Unit 5270, Apo, AP 96367 | 2007-02-06 |
| 1902967599 | Soojin Kim | Dentist | 618th Dental Company As, Unit 15652 Dental Clinic 3, Apo, AP 96205-0652 | 2006-12-13 |
| 1942391990 | Manuel Pozo-alonso | Dentist | Cmr 402 Box 1551, Apo, AE 09180-0016 | 2006-09-27 |
| 1336199843 | Deepti S. Chitnis | Dentist | 618th Dental Company /, Unit 15652, Apo, AP 96205 | 2006-05-12 |
| 1083692297 | Curtis Marion Marsh | Dentist | 48th Dental Squadron/sgd, Unit 5210, Box 230, Apo, AE 09461-0230 | 2006-01-06 |
| 1851388821 | David Peter Lee | Dentist | 18 Ds Unit 5270, Apo, AP 96367-5270 | 2005-10-04 |
| 1962496497 | Philip Seraphin Junghans | Dentist | Psc 9 Box 5516, Apo, AE 09123-0056 | 2005-09-12 |
| 1174923650 | Matthew Pastewait | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2014-09-03 |
| 1023384674 | Phuong M Nguyen | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2012-03-28 |
| 1235374059 | William Joseph Wirthlin | Dentist | Cmr 402, Landstuhl Dental Activity Credentials Office, Apo, AE 09180 | 2008-12-08 |
| Find all providers in APO | ||||
Please comment or provide details below to improve the information on DR. BENJAMIN TODD 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.