ANDREW M. CLARK (NPI# 1659479467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659479467 |
| Entity Type | Individual |
| Full Name | ANDREW M. CLARK |
| Credential | DDS |
| Practice Address |
6800 Main St Suite 315 Downers Grove IL 60516-3493 |
| Practice Telephone | 6309695350 |
| Mailing Telephone | 6309695350 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288563 | Andrew Byler Clark | Student in an Organized Health Care Education/Training Program | 200 Jeanette Lancaster Way, Charlottesville, VA 22903-3388 | 2019-04-11 |
| 1588156509 | Andrew Jeffrey Clark | Chiropractor | 6304 College Blvd, Overland Park, KS 66211-1506 | 2018-06-05 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1316215528 | Andrew J Clark | Counselor | 1219 Oak Knoll Rd, Santa Maria, CA 93455-4303 | 2011-12-02 |
| 1992017164 | Andrew Edward Clark | Dentist | 1036-42 Dunn Ave, Jacksonville, FL 32218-6359 | 2010-07-05 |
| 1760683635 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 109 Pine Knoll Dr, 347, Ridgeland, MS 39157-1350 | 2007-05-30 |
| 1912988635 | Andrew Robert Clark | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-09 |
| 1093374936 | Andrew Elton Clark | Spec/Tech, Pathology | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2019-06-12 |
| 1679034508 | Andrew Jeffrey Clark | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-25 |
| 1447745336 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331 | 2018-06-25 |
| Street Address |
6800 MAIN ST SUITE 315 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60516-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937345 | Nancy A. Congdon, M.s., P.C. | Audiologist | 6800 Main St, #114, Downers Grove, IL 60516-3493 | 2005-10-21 |
| 1053788331 | Jessica Lynne Anderson | Social Worker | 6800 Main St, Suite 210, Downers Grove, IL 60516-3493 | 2015-08-21 |
| 1790117208 | Illinois Neurotherapy Associates | Chiropractor | 6800 Main St, Ste 210, Downers Grove, IL 60516-3493 | 2013-08-07 |
| 1437591880 | Malgorzata Bryja | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2013-07-26 |
| 1356608665 | Taek Y. Kim, M.d., S.c. | Specialist | 6800 Main St, Suite 215, Downers Grove, IL 60516-3493 | 2012-04-12 |
| 1154622637 | Deluxe Home Health Care LLC | Home Health | 6800 Main St, Suite 020, Downers Grove, IL 60516-3493 | 2010-11-15 |
| 1548584386 | Christine M Ellis | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2010-03-23 |
| 1952624686 | Tammy F Bernath | Dental Hygienist | 6800 Main St, Downers Grove, IL 60516-3493 | 2010-03-09 |
| 1508018649 | Robin B Blakkolb Dds Ltd | Dentist | 6800 Main St, Suite 106, Downers Grove, IL 60516-3493 | 2008-10-21 |
| 1679740336 | Glenn R Pouleson | Dentist | 6800 Main St, Apex Endodontics #205, Downers Grove, IL 60516 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
| 1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
| 1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
| 1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
| 1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
| 1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
| Find all providers in zip 60516 | ||||
| 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 |
|---|---|---|---|---|
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1982083135 | Zachary T Frazier Dds PC | Dentist | 4909 Forest Ave, Downers Grove, IL 60515-3509 | 2015-05-20 |
| 1245445964 | Meenakshi Balakrishnan | Dentist | 1330 Ogden Ave, Downers Grove, IL 60515-2772 | 2007-05-14 |
| 1679788319 | Yourthodontist Limited | Dentist | 1330 Ogden Avenue, Downers Grove, IL 60515-2772 | 2007-05-14 |
| 1457579054 | Richard Frederick Callahan | Dentist | 5133 Washington St Ste 7, Downers Grove, IL 60515-4757 | 2007-04-22 |
| 1790286169 | Ortho2smile | Dentist | 4326 Prince St, Downers Grove, IL 60515-2875 | 2018-02-21 |
| 1497106199 | Katharina S Fung | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2016-06-24 |
| 1659527539 | Lisa Maire Mckee | Dentist | 6224 Main St, C, Downers Grove, IL 60516-1900 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
| 1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
| 1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
| 1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
| 1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
| 1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
| 1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
| 1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60516 |
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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.