Heather M. Clark D.M.D PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI20003 Issued in NJ

Legal business name

HEATHER M. CLARK D.M.D PC

Practice address

2311 New Rd
Northfield, NJ 08225-1442

Phone

(609) 646-2501

Fax

(609) 646-0151

NPI assigned

Jul 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenny Hernandez

Title

Assistant Office Manager

Phone

(609) 646-2501

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Beth Bloch, DMD

  • General Practice Dentistry
  • Northfield, NJ
  • NPI 1558566133
  NPD (past)
• Heather M Clark, D.M.D.

  • Dentist
  • Northfield, NJ
  • NPI 1356343784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1063612224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251442",
            "telephone_number": "609-646-2501",
            "fax_number": "609-646-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251442",
            "telephone_number": "609-646-2501",
            "fax_number": "609-646-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER M. CLARK D.M.D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "609-646-2501"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Hauser
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• Heartland Hospice Services, LLC
• Philip D Heckler, RPH
• Evan Albert Heffron, BCBA
• Heidi Schnorr, LLC
• Scott A Hernberg, D.O.
• Theresa Emma Hicks, LAC

• General Practice Dentistry in Northfield, NJ
• Providers in Northfield, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.