CLARK & OTERO DDS PLLC (NPI# 1790930030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790930030 |
| Entity Type | Organization |
| Organization Name | CLARK & OTERO DDS PLLC |
| Other Organization Name | DENTAL CENTER AT ZEBULON |
| Practice Address |
103 Ganyard Farm Way Durham NC 27703-6230 |
| Practice Telephone | (919) 957-2444 |
| Practice Fax Number | 8885059592 |
| Mailing Telephone | (919) 957-2444 |
| Mailing Fax Number | 8885059592 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | BEBE JACKSON (OFFICE MANAGER) |
| Authorized Official Telephone | 9108632377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7917 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903289 | 05 |
| Other Name | Type Code |
|---|---|
| Dental Center at Zebulon | Doing Business As Name - Organization |
| Oak Grove Dental | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 877 E Gannon Ave, Zebulon, NC 275979314 | 9192690103 | 9108632555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710384938 | Clark & Otero Dds Pllc | Dentist | 103 Ganyard Farm Way, Durham, NC 27703-6230 | 2014-12-03 |
| Street Address |
103 GANYARD FARM WAY |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497959712 | Erika M Graham | Dentist | 103 Ganyard Farm Way, Durham, NC 27703-6230 | 2007-06-12 |
| 1710384938 | Clark & Otero Dds Pllc | Dentist | 103 Ganyard Farm Way, Durham, NC 27703-6230 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291494 | Savannah Puett | Dentist | 3811 Sw Durham Dr, Durham, NC 27707-6510 | 2020-06-26 |
| 1316561640 | Anna Kihm Mcilwain | Dentist | 2221 Charlotte St, Durham, NC 27705-2027 | 2020-06-02 |
| 1144882051 | Daniel Driskill, Dds, P.a. | Dentist | 5606 Nc Highway 55, Durham, NC 27713-4475 | 2019-07-01 |
| 1073090817 | Durham Dental, Pllc | Dentist | 360 Main St Ste D, Durham, CT 06422-1644 | 2018-07-24 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1083107619 | Joseph Tanner Anderson | Dentist | 260 Leigh Farm Rd Apt 108, Durham, NC 27707-8121 | 2018-06-08 |
| 1962994392 | Alexander Hunt | Dentist | 1622 Nc-54, Durham, NC 27713 | 2018-06-01 |
| 1558852939 | Alterman & Dhillon Piedmont, Pplc | Dentist | 202 Nc-54, Ste 201 & 202, Durham, NC 27713 | 2018-05-22 |
| 1912427766 | Pratik Gupta | Dentist | 202 W Nc Highway 54 Ste 201, Durham, NC 27713-7564 | 2017-06-22 |
| 1841729878 | Payam Aliabad | Dentist | 8 Monarch Way, Durham, NC 27713-4324 | 2017-06-04 |
| Find all providers in DURHAM | ||||
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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.