JOHN ROBERT CLARK JR. (NPI# 1811079650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811079650 |
| Entity Type | Individual |
| Full Name | JOHN ROBERT CLARK JR. |
| Practice Address |
377 W Palmetto St Florence SC 29501 |
| Practice Telephone | 8436622543 |
| Practice Fax Number | 8436560110 |
| Mailing Telephone | 8436622543 |
| Mailing Fax Number | 8436560110 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | SC3606 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903494 | 05 | |
| SC | ZX3606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890672 | John Douglas Clark Jr. | Family Medicine | 54 Meadowbrook Cir, Brevard, NC 28712-8543 | 2019-06-18 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| 1871909986 | John Clark | Internal Medicine | 740 Bethlehem Pike, Flourtown, PA 19031-1318 | 2014-07-09 |
| 1831444017 | John Arnot Clark | Dermatology | 1849 Mission Ridge Road, Santa Barbara, CA 93103-1857 | 2012-07-13 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1841580586 | John Alan Clark | Pharmacist | 1900 Argillite Rd, Flatwoods, KY 41139-1616 | 2011-04-14 |
| 1740586932 | John Casey Clark | Occupational Therapist | 448 Lewis Hargett Cir, Suite 100, Lexington, KY 40503-3594 | 2011-02-04 |
| 1023327921 | John M Clark | Social Worker | 3528 Manchester Rd, Wantagh, NY 11793-3010 | 2010-09-27 |
| 1831417922 | John Russell Clark | Speech-Language Pathologist | 7811 Cobden Rd, Laverock, PA 19038-7257 | 2010-05-13 |
| 1518151513 | John M Clark | Physical Therapist | 1202 Se 6th St, Wagoner, OK 74467-6316 | 2007-09-02 |
| Street Address |
377 W PALMETTO ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558664573 | Rx Express Inc | Pharmacy | 377 W Palmetto St, Florence, SC 29501-4417 | 2010-12-14 |
| 1154494318 | Sexton Dental Clinic | General Practice | 377 W Palmetto St, Florence, SC 29501 | 2006-11-16 |
| 1639252539 | Robert Garlaind Jamison | Dentist | 377 W Palmetto St, Florence, SC 29501 | 2006-10-23 |
| 1467535377 | Jonathan Marc Hicks | Dentist | 377 W Palmetto St, Florence, SC 29501 | 2006-10-23 |
| 1457433203 | Robert Wayne Scott | Dentist | 377 W Palmetto St, Florence, SC 29501 | 2006-10-20 |
| 1962584714 | James Edward Miles | Dentist | 377 W Palmetto St, Florence, SC 29501 | 2006-10-20 |
| 1679655427 | John Lewis Covington | Dentist | 377 W Palmetto St, Florence, SC 29501 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| 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 |
|---|---|---|---|---|
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1780113845 | Rebekah Kaitlin Everidge | Dentist | 8197 Mall Rd Ste 200, Florence, KY 41042-1413 | 2017-06-12 |
| 1285183996 | Marc Heiden Dental | Dentist | 105 Warley Street, Florence, SC 29501-4442 | 2016-09-23 |
| 1689023087 | Embrace Dental Care | Dentist | 8544 Us Highway 42, Suite 500, Florence, KY 41042-9813 | 2016-06-07 |
| 1174908552 | Robert Embry | Dentist | 642 Cox Creek Pkwy, Florence, AL 35630-1105 | 2015-07-27 |
| 1285024331 | Mall Raod Dental Center | Dentist | 8197 Mall Rd, Florence, KY 41042-1413 | 2015-01-28 |
| 1821497280 | Daren Hunt | Dentist | 950 9th St, Florence, OR 97439-9451 | 2014-08-21 |
| 1174939995 | Michael Alan Rolf | Dentist | 8076 Us Route 42, Florence, KY 41042-1474 | 2014-07-02 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1477992121 | Adam Donothan Byrd | Dentist | 129 Earl Clark Dr, Florence, MS 39073-6605 | 2013-06-17 |
| Find all providers in FLORENCE | ||||
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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.