DONALD E. CLARKE, D.D.S., INC. (NPI# 1649295379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649295379 |
| Entity Type | Organization |
| Organization Name | DONALD E. CLARKE, D.D.S., INC. |
| Other Organization Name | DENTAL SOURCE OF CALIFORNIA |
| Practice Address |
1959 Zinfandel Dr Rancho Cordova CA 95670-2801 |
| Practice Telephone | 9166351457 |
| Mailing Telephone | 9166351457 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DR. DONALD CLARKE (CORPORATION PRESIDENT) |
| Authorized Official Telephone | 9164870117 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
33738 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dental Source of California | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610046 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 2200 Professional Dr, Suite 210, Roseville, CA 95661-7763 | 2006-08-24 |
| 1992720627 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 1930 9th St Ste 105, Sacramento, CA 95811-7076 | 2006-07-13 |
| 1073939617 | Donald E. Clarke, D.d.s., Inc. | Dentist | 7616 Pacific Ave, Stockton, CA 95207-1952 | 2014-03-06 |
| 1104156744 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 1015 5th St, Modesto, CA 95351-2810 | 2010-01-04 |
| 1477883015 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 3485 W Shaw Ave, Suite #104, Fresno, CA 93711-3212 | 2010-01-04 |
| 1144254756 | Donald E. Clarke, D.d.s., Inc. | Clinic/Center | 3901 Marconi Ave, Sacramento, CA 95821-3902 | 2006-07-10 |
| Street Address |
1959 ZINFANDEL DR |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95670-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297640 | Blue Angels Trans LLC | Non-emergency Medical Transport (VAN) | 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 | 2020-05-26 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1174165948 | Sacramento County Office of Education | Clinic/Center | Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 | 2019-10-14 |
| 1700364353 | Kavneet Bindra | Dentist | 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 | 2018-08-04 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1710408422 | Noemi Colmenares | Specialist/Technologist | 11100 Coloma Rd., Rancho Cordova, CA 95670 | 2017-07-03 |
| 1245779552 | Kristin Lyn Kaminski-wadle | Student in an Organized Health Care Education/Training Program | 11344 Coloma Rd Ste 515, Gold River, CA 95670 | 2017-02-20 |
| 1801331822 | Margrette Elaine Townsend | Counselor | 2379 Stone River Ct, Gold River, CA 95670 | 2016-12-29 |
| 1164889572 | Jose H Macaspac Iv | Physical Therapist | 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 | 2016-01-15 |
| 1972971620 | Harry James Buzbuzian Jr. | General Practice | 11345 Gold Country Blvd, Gold River, CA 95670 | 2015-09-11 |
| Find all providers in zip 95670 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526544 | Jonathan Y. Hsu, D.d.s., Inc. | Clinic/Center | 11121 Sun Center Dr Ste E, Rancho Cordova, CA 95670-6199 | 2020-04-04 |
| 1861685604 | Bernard Steinberg Dds | Clinic/Center | 2865 Sunrise Blvd, 114, Rancho Cordova, CA 95742-6538 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95670 |
Please comment or provide details below to improve the information on DONALD E. CLARKE, D.D.S., INC..
| 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.