Curtis M. Clark D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7902

Legal business name

CURTIS M. CLARK D.M.D., P.C.

Practice address

2500 NW Century Dr
Corvallis, OR 97330-3498

Phone

(541) 754-0600

Fax

(541) 758-4282

NPI assigned

Feb 15, 2018

Last updated

Feb 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curtis ClarkNPI 1629067418

Title

Dentist

Phone

(541) 754-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Curtis M Clark, DMD

  • Dentist
  • Corvallis, OR
  • NPI 1629067418
  Authorized official Same address or phone
• David Eldredge, DDS

  • General Practice Dentistry
  • Corvallis, OR
  • NPI 1396272811
  NPD (past)
• Curtis Rulon Hebdon, D.D.S.

  • General Practice Dentistry
  • Corvallis, OR
  • NPI 1215374376
  NPD (past)

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1114427101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW CENTURY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303498",
            "telephone_number": "541-754-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW CENTURY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303498",
            "telephone_number": "541-754-0600",
            "fax_number": "541-758-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS M. CLARK D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-754-0600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "D7902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629067418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Cunningham
• Sierra Rose Cunningham
• Trisha Lorraine Cunningham
• Curious Crow Tattoo LLC
• Johanna Curren-Tyminski
• Brian M Curtis, M.D.
• Lisa Curtis, RN
• Michelle J Curtis, M.D.
• Sarah Joelle Curtis
• Zane Curtis

• General Practice Dentistry in Corvallis, OR
• Providers in Corvallis, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.