Joseph R Clark, DDS
Individual provider Active NPI General Practice Dentistry · Commerce, GA
NPI 1285936005 · NPPES record last updated Aug 9, 2026
Key facts
- NPI
- 1285936005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN009715 (GA)
- Practice address
- 42 Georgia Ave
Commerce, GA 30529-2320 - Phone
- (706) 335-4699
- NPI assigned
- Nov 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN009715 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN009715 | GA | |
| General Practice Dentistry | 1223G0001X | DN009715 | GA | Yes |
Addresses
Primary practice location
42 Georgia Ave
Commerce, GA 30529-2320
Mailing address
42 Georgia Ave
Commerce, GA 30529-2320
Phone (706) 335-4699
Other providers in Commerce, GA
- Tonancy Paloma Casas
- Cedar Communities at Bountiful Hills, LLC
- Cedar Communities at Bountiful Hills, LLC
- CFS Health Management
- Phyllis Chandler
- Sara Chappell Clough
- Cobb Psychiatric Care, LLC
- Larrious Earl Collins
- Commerce Adult Medicine and Pediatrics
- Commerce Ambulatory Surgery Center, Inc.
All providers in Commerce, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.