DR. RONALD E CLARK (NPI# 1639210495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639210495 |
| Entity Type | Individual |
| Full Name | DR. RONALD E CLARK |
| Credential | DMD |
| Practice Address |
109 Kings Hwy W Haddonfield NJ 08033-2127 |
| Mailing Address |
406 Warwick Rd Haddonfield NJ 08033-3830 |
| Practice Telephone | 8564281444 |
| Mailing Telephone | 8567954482 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
14443 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992090484 | Ronald Havis Clark | Pharmacist | 4405 Winterberry Ln, San Angelo, TX 76904-4530 | 2011-06-13 |
| 1003936824 | Ronald Earl Clark | Counselor | 3846 E Dartmouth St, Mesa, AZ 85205-6104 | 2007-03-29 |
| 1588762801 | Ronald Frederick Clark | Chiropractor | 5 Newington Road, West Hartford, CT 06110-2310 | 2006-09-20 |
| 1780088815 | Ronald Joseph Clark | Behavioral Analyst | 444 S 44th St, Omaha, NE 68131-3727 | 2014-10-17 |
| 1467723668 | Ronald Brandon Clark | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2012-01-19 |
| 1336317114 | Ronald H Clark | Chiropractor | 4917 Poplar Springs Drive, Meridian, MS 39305 | 2008-02-14 |
| 1508908427 | Ronald Austin Clark | Social Worker | 215 Loudoun St Se, Leesburg, VA 20175-3115 | 2007-02-14 |
| 1356400105 | Ronald Craig Clark | Chiropractor | 200 Industrial Blvd, Suite 108, Ellijay, GA 30540-3722 | 2006-12-07 |
| 1477631919 | Ronald A Clark | Surgery | 909 Hyde St, Suite 325, San Francisco, CA 94109-4822 | 2006-11-01 |
| 1972613255 | Ronald Lee Clark | Social Worker | 106 W Utica St, Oswego, NY 13126-3330 | 2006-08-30 |
| Street Address |
109 KINGS HWY W |
| City | HADDONFIELD |
| State | NJ |
| Zip Code | 08033-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447750641 | Jennifer Agnes Gould | Counselor | Haddonfield Psychiatry, 30 Washington Ave Suite E-1, Haddonfield, NJ 08033 | 2018-02-15 |
| 1073033593 | Bancroft Neurohealth | Clinic/Center | 425 Haddonfield Rd., Haddonfield, NJ 08033 | 2017-06-26 |
| 1063948446 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 Kings Court, Haddonfield, NJ 08033 | 2017-05-04 |
| 1568910008 | Garden State Family Chiropractic | Chiropractor | 15 E Euclid Ave Ste A, Haddonfield, NJ 08033 | 2016-09-13 |
| 1982060034 | Cooper University Hospital | Podiatrist | 37 Centre St, Apt 1, Haddonfield, NJ 08033 | 2016-01-05 |
| 1871965020 | Cristina C. Sertway | Nurse Practitioner | 31 Kings Highway East, Second Floor, Haddonfield, NJ 08033 | 2015-10-28 |
| 1225417603 | Winding Way | Day Training, Developmentally Disabled Services | 116 Ellis Street, Haddonfield, NJ 08033 | 2015-05-19 |
| 1528300720 | Linda Paul | Speech-Language Pathologist | 201 South Kings Highway, Haddonfileld, NJ 08033 | 2013-03-26 |
| 1447598685 | Louis George Palena | Counselor | 1409 Route 70e, Alternatives In Counseling, Cherry Hill, NJ 08033 | 2013-01-23 |
| 1316299506 | Carolyn A Fahy | Social Worker | 228 Kings Hwy East Suite 101, Haddonfield, NJ 08033 | 2012-10-11 |
| Find all providers in zip 08033 | ||||
| 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 |
|---|---|---|---|---|
| 1679789085 | Vanessa A Morenzi | Dentist | 265 Kings Hwy E, Haddonfield, NJ 08033-1983 | 2007-05-15 |
| 1396167474 | Michael Connely Woods | Dentist | 15 E Euclid Ave, Haddonfield, NJ 08033-2300 | 2014-01-09 |
| 1700963428 | Amy E James Dmd Pa | Dentist | 15 E Euclid Ave, Haddonfield, NJ 08033-2300 | 2006-11-01 |
| 1043397755 | Amy Elizabeth James | Dentist | 15 E Euclid Ave, Haddonfield, NJ 08033-2300 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452487 | Piskai Orthodontics LLC | Dentist | 302 Haddonfield Berlin Rd, Voorhees, NJ 08043-1413 | 2020-09-23 |
| 1992319537 | Nishat Anbar Shahabuddin | Dentist | 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 | 2020-09-01 |
| 1770192239 | Eastern Dental Holdings, LLC | Dentist | 1030 St. Georges Avenue, Suite 304, Avenel, NJ 07001-1327 | 2020-07-30 |
| 1831714765 | Suzanne Quigley Dmd, LLC | Dentist | 130 Maple Ave Ste 2b, Red Bank, NJ 07701-1729 | 2020-06-16 |
| 1871114512 | Marigold Pediatric Dentistry and Orthodontics | Dentist | 1713 Springfield Ave, Maplewood, NJ 07040-2914 | 2020-05-05 |
| 1366076648 | Robert Vartkis Kinoian | Dentist | 138 Spring Valley Rd, Paramus, NJ 07652-5332 | 2020-02-26 |
| 1932732856 | Elite Orthodontics | Dentist | 61 Berdan Ave, Wayne, NJ 07470-3231 | 2020-02-19 |
| 1568006583 | Bowen Family Orthodontics, LLC | Dentist | 7 Myers Dr Ste B, Mullica Hill, NJ 08062-9513 | 2019-11-01 |
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1295376010 | Amy H Hoch | Dentist | 105 Reids Hill Rd Ste A, Matawan, NJ 07747-4003 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | HADDONFIELD |
| Zip Code | 08033 |
Please comment or provide details below to improve the information on DR. RONALD E 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.