Pat Clark DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS0000007499 Issued in TN

Legal business name

PAT CLARK DDS

Practice address

6750 Poplar Ave
Suite 700
Memphis, TN 38138-7438

Phone

(901) 309-3045

Fax

(901) 309-3065

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pat Clark, DDS

Title

President

Phone

(901) 309-3045

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.

• Paul A Clark II, DDS

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1942211263
  NPD (past)
• James E. Sexton, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1093871907
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316958473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 POPLAR AVE",
            "address_2": "SUITE 700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381387438",
            "telephone_number": "901-309-3045",
            "fax_number": "901-309-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 POPLAR AVE",
            "address_2": "SUITE 700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381387438",
            "telephone_number": "901-309-3045",
            "fax_number": "901-309-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT CLARK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-309-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS0000007499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Christine Pass, RDN, LDN
• Passionforhope, LLC
• Passons Eye Center, P.L.L.C.
• Gary Allen Passons, MD
• Passport Health Holdings, LLC
• Jay Patchen, MD
• Mary Jane I Patchen, MD
• Leanne Pate, PH.D.
• Lindsay Pate, PHD
• Pam Pate, FNP, PNP

• Dental Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.