DR. DAVID ALLEN CLARK (NPI# 1962668202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962668202 |
| Entity Type | Individual |
| Full Name | DR. DAVID ALLEN CLARK |
| Credential | DDS |
| Practice Address |
4209 Tieton Dr Suite 102 Yakima WA 98908-3377 |
| Practice Telephone | 5099662230 |
| Mailing Telephone | 5099662230 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2011-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60023580 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| 1447333539 | David J Clark | Dentist | 3402 S 38th St, Tacoma, WA 98409-4638 | 2006-10-23 |
| Street Address |
4209 TIETON DR SUITE 102 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437602299 | Wells Kurt Labberton | Dentist | 4209 Tieton Dr, Suite 101, Yakima, WA 98908-3377 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1679096507 | Balpreet Kaur Saini | Dentist | 2402 S 1st St Ste 108, Yakima, WA 98903-1646 | 2017-07-23 |
| 1831442003 | Scenicview Dental P.l.l.c. | Dentist | 215 S 72nd Ave, Yakima, WA 98908-1629 | 2012-10-24 |
| 1568710069 | N.s. Khurana IIi, D.m.d., P.l.l.c. | Dentist | 2802 W. Nob Hill Blvd., Ste. A, Yakima, WA 98902 | 2012-08-15 |
| 1245559525 | Micah Nathanael Bickel | Dentist | 800 Old Naches Hwy, Yakima, WA 98908-9036 | 2010-05-25 |
| 1225249576 | Don H. Morgan, D.d.s., P.s. | Dentist | 121 N. 50th Ave, Yakima, WA 98908-2862 | 2007-05-25 |
| 1760512370 | Tyler E Bauer | Dentist | 1021 S 40th Ave Ste 3, Yakima, WA 98908-3880 | 2007-03-06 |
| 1326180829 | Tim Lawrence Oconnor | Dentist | 1015 So 40th Ave, Suite 15, Yakima, WA 98908-3867 | 2007-02-12 |
| 1629136890 | Marvin Edward Swainson | Dentist | 1417 Lakeside Ct, Yakima, WA 98902-7354 | 2006-12-04 |
| 1982779732 | Eric K. Borchert | Dentist | 11 North 11th Ave., #104, Yakima, WA 98902 | 2006-11-21 |
| Find all providers in YAKIMA | ||||
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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.