DR. CLARK C WHITE III (NPI# 1952491334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952491334 |
| Entity Type | Individual |
| Full Name | DR. CLARK C WHITE III |
| Credential | D.D.S. |
| Practice Address |
6801 Mayfield Rd Suite 548 Mayfield Hts OH 44124-2210 |
| Practice Telephone | 4404610994 |
| Practice Fax Number | 4404610935 |
| Mailing Telephone | 4404610994 |
| Mailing Fax Number | 4404610935 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
19009 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174867485 | Clark Conner White II | Family Medicine | 4482 Little Johns Pl, Youngstown, OH 44511-3630 | 2012-11-27 |
| Street Address |
6801 MAYFIELD RD SUITE 548 |
| City | MAYFIELD HTS |
| State | OH |
| Zip Code | 44124-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184043887 | Darrel Mittelstaedt | Physical Therapist | 6801 Mayfield Rd, Hillcrest Medical Building #2 Suite 150, Mayfield Hts, OH 44124-2270 | 2014-04-09 |
| 1336479401 | Health First Primary Care LLC | Internal Medicine | 6801 Mayfield Rd, Ste 336, Mayfield Hts, OH 44124-2270 | 2010-01-12 |
| 1437359973 | Ronald H Bell | Dentist | 6801 Mayfield Rd, #450, Mayfield Hts, OH 44124-2270 | 2007-07-23 |
| 1851518245 | Wenger Orthodontics, Inc | Dentist | 6801 Mayfield Rd, Suite 233, Mayfield Hts, OH 44124-2270 | 2007-04-19 |
| 1053432849 | Anthony P Bastulli | Dentist | 6801 Mayfield Rd, #543, Mayfield Hts, OH 44124-2270 | 2007-04-02 |
| 1255465852 | Avrum G Jacobs | Internal Medicine | 6801 Mayfield Rd, Suite 444, Mayfield Hts, OH 44124-2270 | 2007-03-15 |
| 1740361716 | Howard Jay Synenberg | Dentist | 6801 Mayfield Rd, Mayfield Hts, OH 44124 | 2006-10-18 |
| 1225078850 | Patrick J. Cullen | Nurse Practitioner | 6801 Mayfield Rd, Suite 444, Mayfield Hts, OH 44124-2270 | 2006-06-08 |
| 1285602433 | Esti G Gumpertz | Dermatology | 6801 Mayfield Rd, Suite 244, Mayfield Hts, OH 44124-2270 | 2006-03-12 |
| 1023007580 | John L. Pund | Physician Assistant | 6801 Mayfield Rd, Ste 450, Mayfield Hts, OH 44124-2270 | 2005-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887670 | Hanin Hammoudeh | Dentist | 305 W 12th Ave # 3005s, Columbus, OH 43210-1267 | 2020-09-24 |
| 1235785957 | Diogo Do Nascimento Machado Gouveia | Dentist | 305 W 12th Ave Ofc 3005d, Columbus, OH 43210-1267 | 2019-08-19 |
| 1275060196 | Robert James Faulkner | Dentist | 5391 Grand Legacy Dr, Maineville, OH 45039-7783 | 2017-05-23 |
| 1225333875 | Manish Chopra Dmd Inc. | Dentist | 2752 Erie Ave Ste 1, Cincinnati, OH 45208-2207 | 2011-01-12 |
| 1164732871 | Burak Yilmaz | Dentist | 305 W12th Ave. Postle Hall, The Ohio State University College of Dentistry, Columbus, OH 43210 | 2010-10-15 |
| 1194054650 | Sanjay Karunagaran | Dentist | 5155 Buehlers Dr Ste 107, Medina, OH 44256-5389 | 2009-12-12 |
| 1073769204 | Meckler Dental Providers (macedonia), Inc. | Dentist | 8210 Macedonia Commons, Unit #6, Macedonia, OH 44056-1860 | 2008-08-07 |
| 1073779575 | Bradley A Purcell | Dentist | 55 Caren Ave Ste 270, Worthington, OH 43085-2515 | 2008-08-04 |
| 1619173994 | Charles Vito Caponigro | Dentist | 460 S State St, Westerville, OH 43081-2922 | 2007-06-25 |
| 1730394594 | Mark Steven Bello | Dentist | 1816 Columbus Pike, Delaware, OH 43015-2728 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
| City | MAYFIELD HTS |
| Zip Code | 44124 |
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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.