CLARK DENTAL CARE INC (NPI# 1891845160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891845160 |
| Entity Type | Organization |
| Organization Name | CLARK DENTAL CARE INC |
| Practice Address |
1980 A Kings Gate Rd Suite A Springfield OH 45502 |
| Mailing Address |
Po Box 655 Urbana OH 43078 |
| Practice Telephone | 9373425370 |
| Mailing Telephone | 9373425370 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KAMAL ABDEL BASIR ABDEL WAHAB (PRESIDENT) |
| Authorized Official Telephone | 9373425370 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0679565 | 05 |
| Street Address |
1980 A KINGS GATE RD SUITE A |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232449 | Jennifer Susanne Mitchell Denney | Registered Nurse | 3710 Snyder Domer, Springfield, OH 45502 | 2017-08-26 |
| 1649512138 | Kathleen J Oxner | Internal Medicine | 2100 Emmanuel Way Ste B, Springfield, OH 45502 | 2013-03-22 |
| 1255667648 | Stacey Lynn Harpest | Licensed Practical Nurse | 2960 Dayton Springfield Road, Springfield, OH 45502 | 2009-10-20 |
| 1477714475 | Christian A Victor | Dentist | 1980 Kingsgate Rd., Suite A, Springfield, OH 45502 | 2008-06-23 |
| 1508916743 | Helen Louise Chapman | Home Health Aide | 7610 Troy Rd, Springfield, OH 45502 | 2007-01-11 |
| 1144387820 | Philip Joseph Gibeau | Psychologist | 20 South Limestone St Ste 340, Springfield, OH 45502 | 2007-01-02 |
| 1730707480 | Jeffrey Blaine Randall | Counselor | 4867 Urbana Rd, Springfield, OH 45502 | 2020-07-09 |
| 1013573989 | Dion Stevens | Peer Specialist | 4867 Urbana Rd, Springfield, OH 45502 | 2019-05-15 |
| 1760820708 | Matthew Pigott | Orthopaedic Surgery | 140 W Main St, Springfield, OH 45502 | 2013-06-12 |
| 1538304050 | Ohio Valley Medical Center, LLC | General Acute Care Hospital | 100 W. Main Street, Springfield, OH 45502 | 2008-12-12 |
| Find all providers in zip 45502 | ||||
| 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 |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45502 |
Please comment or provide details below to improve the information on CLARK DENTAL CARE INC.
| 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.