Denise Elizabeth Clarke, MSED DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6946 Issued in WA

Practice address

902 E 8TH St
Port Angeles, WA 98362-6421

Phone

(360) 457-9470

Fax

(360) 457-6966

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alan L. Peet DDS PLLC

  • Dental Clinic/Center
  • Sequim, WA
  • NPI 1437185006
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1598731036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626421",
            "telephone_number": "360-457-9470",
            "fax_number": "360-457-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626421",
            "telephone_number": "360-457-9470",
            "fax_number": "360-457-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DENISE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MSED  DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "6946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Jade Clark
• Katherine Clark
• Lisa Ann Clark
• Rachel Clark
• Tasha Clark, RN
• Bunny Claxton
• Clinicare of Port Angeles Inc
• Adam Cloutier
• Jacqueline Clubine, CNM
• Michael Matthew Coffey, L.D.

• Oral and Maxillofacial Surgery (Dentist) in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.