JANICE D CLARK (NPI# 1639322233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639322233 |
| Entity Type | Individual |
| Full Name | JANICE D CLARK |
| Credential | D.D.S. |
| Practice Address |
2041 Silas Creek Pkwy Winston Salem NC 27103-5147 |
| Mailing Address |
2211 Executive St Suite E Charlotte NC 28208-3661 |
| Practice Telephone | 3367771272 |
| Practice Fax Number | 3367771196 |
| Mailing Telephone | 7043956000 |
| Mailing Fax Number | 7043987373 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8703 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275195547 | Janice L Clark | Specialist/Technologist | 9713 Carson Ranch Rd, Crowley, TX 76036-9717 | 2019-07-08 |
| 1548597727 | Janice Laurel Clark | Counselor | 2208 Bromfield Cir, Wichita, KS 67226-1105 | 2009-11-10 |
| 1942808209 | Janice M Clark | Technician | 111 Virginia Ave, Petersburg, WV 26847-1713 | 2020-10-09 |
| 1346893534 | Janice Clark | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-07-17 |
| 1851707376 | Janice Clark | Social Worker | 800 N 1st St, San Jose, CA 95112-6312 | 2014-07-03 |
| 1306141924 | Janice Clark | Counselor | 325 Clifty St, Somerset, KY 42501-1666 | 2011-01-12 |
| 1811168339 | Janice Patrece Clark | Orthopaedic Surgery | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2008-03-13 |
| 1720131493 | Janice M Clark | Social Worker | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2007-01-18 |
| 1346329976 | Janice Clark | Nurse Practitioner | 507 S 4th St, Clinton, IA 52732-4532 | 2006-11-03 |
| Street Address |
2041 SILAS CREEK PKWY |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164467411 | Michael A Derose Dds Pa | Dentist | 2041 Silas Creek Pkwy, `, Winston Salem, NC 27103-5147 | 2006-06-19 |
| 1740459650 | Rafael Rivera, Jr., Dds, Pllc | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2008-02-25 |
| 1700072428 | Nadia Siddiqui | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2007-09-17 |
| 1407923592 | Michelle Christine Stoffa | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2006-11-30 |
| 1356458194 | Scott Alan Folsom | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2006-08-25 |
| 1235246992 | Edward Mosely Townes IIi | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2006-08-25 |
| 1750495172 | Maria D. Lavandero I | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2006-08-19 |
| 1194749440 | Charles Noel Kidroske | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1619591328 | Catherine B. Laws, D.d.s., P.l.l.c. | Dentist | 1309 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2020-05-29 |
| 1558990457 | Roger Alan Horton | Dentist | 2338 Rosewood Ave, Winston Salem, NC 27103-3639 | 2020-04-03 |
| 1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
| 1699213959 | Henry Lee Jackson Jr. | Dentist | 334 E Hanes Mill Rd, Winston Salem, NC 27105-9135 | 2017-02-07 |
| 1336692060 | Blake Patrick Nelson | Dentist | 3066 Trenwest Dr, Winston Salem, NC 27103-3208 | 2016-07-29 |
| 1992165963 | Bryana Williams | Dentist | 3210 Silas Creek Pkwy, #4, Winston Salem, NC 27103-3009 | 2016-03-03 |
| 1104203579 | Koelling & Associates Pllc | Dentist | 5069 University Pkwy, 11, Winston Salem, NC 27106-6083 | 2015-05-05 |
| 1225444888 | Peterson & Swartz Dds, Pllc | Dentist | 10479 N. Highway 109, Suite 107 B, Winston Salem, NC 27107-9884 | 2014-07-03 |
| 1487069589 | Meredith Greeson Boyte | Dentist | 3244 Reynolda Road, Winston Salem, NC 27106 | 2014-06-26 |
| 1972920593 | Abrams,cohen,nagel & Associates PC | Dentist | 3768 Creekshire Ct, Winston Salem, NC 27103-1363 | 2014-03-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.