Clark & Associate's Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CLARK & ASSOCIATE'S DENTISTRY

Doing business as

Brett Mann Pediatric Dentistry

Practice address

8001 Shelby St
Indianapolis, IN 46227-5970

Phone

(317) 882-1536

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By 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

Holly Clark, DDS MSDNPI 1750732285

Title

President

Phone

(317) 752-4719

Specialties & licenses 1

Addresses

Other names 1

• Brett Mann Pediatric Dentistry Doing business as

Locations

Practitioners 1

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.

• Holly Marie Clark, D.D.S.

  • Dentist
  • Indianapolis, IN
  • NPI 1750732285
  NPD Authorized official

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1275293532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 ROCKVILLE RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143130",
            "telephone_number": "317-995-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275970",
            "telephone_number": "317-882-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK & ASSOCIATE'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-752-4719",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brett Mann Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Breanna Clariett
• Clarity Promises Unlimited LLC
• Clarity&Findingyoullc
• Clark Dental Group
• Danielle M Clark McDonald
• Clark Springs, MD, LLC
• Adrienne Lynn Clark-Bogle, OTR
• Adam S Clark, PA

• Pediatric Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.