MR. TAYLOR COLEMAN CLARK


Address: 6019 N Eagle Rd, Boise, ID 83713
Phone: 2089388228

MR. TAYLOR COLEMAN CLARK (NPI# 1780635037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780635037
Entity Type Individual
Full Name MR. TAYLOR COLEMAN CLARK
Credential DDS
Practice Address 6019 N Eagle Rd
Boise
ID 83713
Mailing Address 4400 N Tempest Way
Meridian
ID 83642
Practice Telephone 2089388228
Practice Fax Number 2089382442
Mailing Telephone 2088469226
Enumeration Date 2006-05-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D3624 ID Dental Providers

Other Providers TAYLOR CLARK

NPI Name Taxonomy Address Enumeration
1104377340 Taylor Clark Specialist/Technologist 1509 Willowross Dr, Lewisville, TX 75077-3705 2016-10-24
1336155571 Taylor Clark Dentist 3 Road 6523, Kirtland, NM 87417-9452 2006-07-31
1265047351 Taylor Clark Physical Therapist 1015 W 47th Street, Norfolk, VA 23508 2020-09-15
1114578994 Taylor Clark Physician Assistant 4715 Whitesburg Dr Se, Huntsville, AL 35802-1632 2019-09-24
1821567157 Taylor L Clark Registered Nurse 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 2018-11-15
1235657545 Taylor E Clark Nurse Practitioner 455 Park Pl Ste 130, Lexington, KY 40511-1830 2017-09-07
1174040455 Taylor Ashton Clark Physical Therapist 1289 Oliver St, Fayetteville, NC 28304-4450 2017-08-28
1740729599 Taylor Clark Social Worker 2100 Main St, Baker City, OR 97814-2655 2017-02-13
1376892422 Taylor J Clark Physical Therapist 800 N Fant St, Anderson, SC 29621-5708 2012-09-05
1275823965 Taylor Chapman Clark Student in an Organized Health Care Education/Training Program 505 Parnassus Ave, M691, San Francisco, CA 94143-0110 2011-04-14

Office Location

Street Address 6019 N EAGLE RD
City BOISE
State ID
Zip Code 83713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194175232 Idaho Perio Center for Dental Implants & Laser Periodontal Therapy Dentist 6019 N Eagle Rd, Boise, ID 83713-0997 2016-06-20
1366824484 Kip T Katseanes Dentist 6019 N Eagle Rd, Boise, ID 83713 2015-06-25
1033429899 Logan Marsh Lamprecht Counselor 6019 N Eagle Rd, Boise, ID 83713-0997 2010-10-14
1053540898 All About You Dental, PC Clinic/Center 6019 N Eagle Rd, Boise, ID 83713-0997 2009-07-14
1851554737 Stacy J. Moon Dds, Pa Clinic/Center 6019 N Eagle Rd, Boise, ID 83713-0997 2008-07-09
1124035472 Robert William Arthur French Ix Dentist 6019 N Eagle Rd, Boise, ID 83713-0997 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265902332 Kidscare Home Health of Idaho, LLC Home Health 1835 Wildwood Street, Boise, ID 83713 2018-11-30
1417463928 Kimberly Ann Bohrer Behavioral Analyst 12053 W Hickory Dr, Boise, ID 83713 2017-12-19
1407371891 Emir Hadzic Optometrist 13239 W. Fernleaf St., Boise, ID 83713 2017-08-07
1518336650 Alliance Physical Medicine Nurse Practitioner 13909 W Wainwright Drive, Boise, ID 83713 2015-09-18
1083038335 Jan L Rehder Nurse Practitioner 13150 W Persimmon Lane, Boise, ID 83713 2014-02-06
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1659667459 Jayson Clark Dentist 4274 N Eagle Road, Boise, ID 83713 2011-06-21
1043503659 Steven Anthony Eckhoff Physician Assistant 11662 W Arlen St, Boise, ID 83713 2011-05-16
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1699930404 Dennis J. Garpetti, Dds, P.C. Dentist 13108 West Persimmon Lane, Boise, ID 83713 2008-07-21
Find all providers in zip 83713

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891304002 Tree City Family Dental Dentist 7301 W. Emerald St Ste. 102, Boise, ID 83704 2020-07-24
1093369241 Daniel Bryan Ackerman Dentist 10200 W Emerald St Ste 105, Boise, ID 83704-8900 2019-07-26
1497105944 Carson Steven Dial Dentist 1529 S Timesquare Ln Ste 100, Boise, ID 83709-8204 2016-06-15
1538563044 Smiles 4 Kids Dentist 5737 W Fairview Ave, Boise, ID 83706-1168 2014-10-13
1407260128 David A Luker Dentist 514 S El Blanco Dr, Boise, ID 83709-0444 2014-06-20
1841626710 Stephen Anthony Hubert Dentist 600 E. Riverpark Ln., Ste. 100, Boise, ID 83706-7237 2013-09-23
1215360292 William Blake Bybee Dentist 5833 W. Hidden Springs Dr., Boise, ID 83714 2013-08-14
1346689866 Boise Towne Square Dental Dentist 7677 W. Emerald, Boise, ID 83704 2013-06-18
1396183976 Anne K. Steinberg, Dmd, P. C. Dentist 1410 S Entertainment Ave, Boise, ID 83709-8306 2013-06-05
1912344284 David Norman Wold Dentist 8950 W Emerald St Ste 108, Boise, ID 83704 2013-05-28
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83713

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Dataset Information

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.

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