JOHN S. CLARK, APDC (NPI# 1750508479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750508479 |
| Entity Type | Organization |
| Organization Name | JOHN S. CLARK, APDC |
| Other Organization Name | MISSISSIPPI ORTHODONTIC SPECIALISTS |
| Practice Address |
411 Security Sq Gulfport MS 39507-1922 |
| Practice Telephone | 2288968355 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | DR. JOHN S CLARK (PRESIDENT) |
| Authorized Official Telephone | 2288968355 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
OR-050-82 | MS | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mississippi Orthodontic Specialists | Doing Business As Name - Organization |
| Street Address |
411 SECURITY SQ |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699864520 | John Saunders Clark | Dentist | 411 Security Sq, Gulfport, MS 39507-1922 | 2006-10-11 |
| 1780115808 | Rivers Psychotherapy Services, LLC | Community/Behavioral Health | 411 Security Sq, Gulfport, MS 39507 | 2017-03-21 |
| 1003267444 | Shelia Rivers | Social Worker | 411 Security Sq, Gulfport, MS 39507 | 2016-06-27 |
| 1689084964 | Devereux & Nguyen Gulfport Pllc | Dentist | 411 Security Sq, Gulfport, MS 39507-1922 | 2014-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| 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 |
|---|---|---|---|---|
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1578901815 | Ashley Marie Lestrade | Dentist | 545 16th St, Gulfport, MS 39507-1209 | 2013-06-10 |
| 1538328836 | Michael O. Williams Dds.pa | Dentist | 424 Courthouse Rd, Gulfport, MS 39507-1849 | 2008-06-03 |
| 1174792022 | Bruce Thompson Bleil | Dentist | 15465 Oak Lane, Ste. 100 - H, Gulfport, MS 39503-3524 | 2008-02-25 |
| 1013105451 | Michael Owen Williams | Dentist | 424 Court House Road, Gulfport, MS 39507-1849 | 2007-10-11 |
| 1073643789 | Christopher P Frigo | Dentist | 382 Courthouse Rd Ste C, Gulfport, MS 39507-1864 | 2007-03-06 |
| 1356862445 | Smile Country Orthodontics | Dentist | 15465 Oak Ln, Gulfport, MS 39503-2663 | 2017-06-29 |
| 1689084964 | Devereux & Nguyen Gulfport Pllc | Dentist | 411 Security Sq, Gulfport, MS 39507-1922 | 2014-05-07 |
| 1326489345 | Edward Victor Brown IIi | Dentist | 15465 Oak Ln, Suite 100h, Gulfport, MS 39503-2663 | 2013-07-08 |
| 1710268669 | Michael O. Williams, D.d.s.,p.a. | Dentist | 424 Courthouse Rd, Gulfport, MS 39507-1849 | 2011-09-06 |
| Find all providers in GULFPORT | ||||
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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.