Active NPI
Richard K Clardy, D.M.D.
- General Practice Dentistry
- Dublin, GA
National Provider Identifier
1578543765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN011080
- Practice address
- 204 Fairview Park Dr
Dublin, GA 31021-2547 - Phone
- (478) 272-6777
- Fax
- (478) 272-6716
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN011080 | GA | Primary |
Addresses
Primary practice location
204 Fairview Park Dr
Dublin, GA 31021-2547
Mailing address
PO Box 1973
Dublin, GA 31040-1973
Phone (478) 272-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN011080 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578543765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1973",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310401973",
"telephone_number": "478-272-6777",
"fax_number": "478-272-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 FAIRVIEW PARK DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212547",
"telephone_number": "478-272-6777",
"fax_number": "478-272-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARDY",
"first_name": "RICHARD",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN011080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.