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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
13795 | OH | Dental Providers |
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 |
Street Address |
736 COLUMBUS AVE |
City | LEBANON |
State | OH |
Zip Code | 45036-1608 |
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 |
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 Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
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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.