Allison Clark DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALLISON CLARK DMD LLC

Practice address

540 W Main St
New Lebanon, OH 45345-9172

Phone

(937) 687-0700

Fax

(937) 687-6099

NPI assigned

May 21, 2024

Last updated

May 21, 2024By 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

Allison B Clark, DMDNPI 1710207717

Title

Owner

Phone

(937) 687-0700

Specialties & licenses 2

Addresses

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.

• Allison Clark, D.M.D.

  • Dentist
  • Dayton, OH
  • NPI 1710207717
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1427897388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459172",
            "telephone_number": "937-687-0700",
            "fax_number": "937-687-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W MAIN ST",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453459172",
            "telephone_number": "937-687-0700",
            "fax_number": "937-687-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON CLARK DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-687-0700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 101 Mills Place Operations LLC (New Lebanon Center)
• Achieve Greatness Enterprises LLC
• Sherifatu Adama
• Bibi Tasleeza Alladeen, RPH.
• Jason Richard Ashburn, LPN
• Olivia Benner
• Dennis Al Bingham, M.D.
• Amanda Brant, MSPT
• Amy Sue Bullion, COTA/L

• Dentist in New Lebanon, OH
• Providers in New Lebanon, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.