ROGER E CLARK


Address: 736 Columbus Ave, Lebanon, OH 45036-1608
Phone: 5139321370

ROGER E CLARK (NPI# 1821202383) 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) 1821202383
Entity Type Individual
Full Name ROGER E CLARK
Credential D.D.S.
Practice Address 736 Columbus Ave
Lebanon
OH 45036-1608
Practice Telephone 5139321370
Practice Fax Number 5139320814
Mailing Telephone 5139321370
Mailing Fax Number 5139320814
Enumeration Date 2007-05-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
13795 OH Dental Providers

Other Providers ROGER CLARK

NPI Name Taxonomy Address Enumeration
1922640721 Roger Clark Student in an Organized Health Care Education/Training Program 160 Convent Ave, Harris Hall H-15, New York, NY 10031-9198 2019-10-13
1104476225 Roger Kevin Clark Jr. Pharmacist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2019-09-19
1225458136 Roger Clark Specialist/Technologist 2200 Bonforte Blvd, Pueblo, CO 81001-4901 2014-04-17
1205166238 Roger Clark Pharmacist 19003 N R H Johnson Blvd, Sun City West, AZ 85375-4402 2010-01-14
1992976542 Roger Dale Clark Hearing Instrument Specialist 4300 W Waco Dr, A2, Waco, TX 76710-7010 2008-03-21
1669501136 Roger Galen Clark Psychologist Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 2007-03-02
1235181140 Roger P. Clark Internal Medicine 1153 Centre St, Suite 4955, Boston, MA 02130-3446 2006-05-17

Office Location

Street Address 736 COLUMBUS AVE
City LEBANON
State OH
Zip Code 45036-1608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033323589 Ryan S Swisher Dentist 736 Columbus Ave, Lebanon, OH 45036-1608 2007-05-10
1295049898 Tera M Moeller Dentist 736 Columbus Ave, Lebanon, OH 45036-1765 2010-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205479458 Natasha Denney Arentz Nurse Practitioner 5787 Oh-63, Lebanon, OH 45036 2019-10-21
1265086573 Eric Stone Counselor 5234 Oh-63, Lebanon, OH 45036 2019-07-25
1548730401 Crystal Prater Counselor 5234 W Sr 63, Lebanon, OH 45036 2018-12-04
1922574284 Ellen L Fink Counselor 5234 Sr 63, Lebanon, OH 45036 2018-10-15
1255832275 Primary Care Partners of Ohio Family Medicine 726 E Main St Ste F205, Lebanon, OH 45036 2018-02-25
1548769599 Chelsea R Perkins Case Manager/Care Coordinator 975 Kingsview Drive Bldg B, Lebanon, OH 45036 2018-02-06
1184133829 Mary Bennett Speech-Language Pathologist 6760 Oh St Rt. 34, Lynchburg, OH 45036 2017-09-26
1699292912 Robert Earl Offutt Counselor 5234 State Rt.63, Lebanon, OH 45036 2017-08-28
1407381528 Kari Bump Counselor 320 E Silver St, Lebanon, OH 45036 2017-04-26
1154780435 Ohio Department of Rehabilitation and Correction Public Health or Welfare State Route 63, Lebanon, OH 45036 2016-02-16
Find all providers in zip 45036

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902414436 University Smiles LLC Dentist 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 2020-07-21
1962020693 Rachel Hancock Dentist 367 Nh 120, Lebanon, NH 03766-1430 2020-07-09
1386295434 Zarna Patel Dentist 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 2019-09-20
1932639044 Carson James Stroyan Dentist 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 2017-06-13
1083142483 Horton Scott Li Dentist 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 2017-05-30
1548712151 Patel Dental Group of Upper Valley Dentist 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 2016-10-30
1235584913 Temicka Terrell Dentist 1037 W Main St Ste E, Lebanon, TN 37087-3356 2016-04-29
1215340880 Eriks Dental, PC Dentist 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 2014-06-11
1497043178 Jacob Eldon Frazier Dentist 110 Wakanda Dr, Lebanon, IL 62254-1393 2011-07-15
1740592633 John David Hirce Dentist 367 Route 120 Unit D, Lebanon, NH 03766-1430 2010-07-08
Find all providers in LEBANON

Competitor

Search similar providers

City LEBANON
Zip Code 45036

Improve Information

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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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