William Clark DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLIAM CLARK DDS INC

Practice address

1040 NE 36TH St
Oklahoma City, OK 73111-5002

Phone

(405) 427-5405

Fax

(405) 427-5406

NPI assigned

Jun 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. William A Clark Jr., DDS

Title

Owner

Phone

(405) 427-5405

Specialties & licenses 1

Addresses

Other names 1

• NORTHEAST DENTAL CLINIC Doing business as

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1093383952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731115002",
            "telephone_number": "405-427-5405",
            "fax_number": "405-427-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731115002",
            "telephone_number": "405-427-5405",
            "fax_number": "405-427-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CLARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-427-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Michelle Willett, LMFT-C
• William a Collazo, M.D., F.a.C.C.
• William Bendure
• William Bendure MD, PLLC
• William C Brasher
• William D Wright MD PLLC
• William F. Barnes, MD, PC
• William Hawk, M.D., P.C.
• William J Hale II MD PC
• William J Perkins MD PC

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.