Allison Clark, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02646800 Issued in NJ

Practice address

109 Kings Hwy W
Haddonfield, NJ 08033-2127

Phone

(856) 428-1444

NPI assigned

Jun 22, 2016

Last updated

Sep 23, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earl B Broker DDS LLC

  • Dentist
  • Voorhees, NJ
  • NPI 1659451821

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1629429592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KINGS HWY W",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332127",
            "telephone_number": "856-428-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KINGS HWY W",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332127",
            "telephone_number": "856-428-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "992 Mantua Pike Ste 203",
            "address_purpose": "LOCATION",
            "city": "Woodbury Heights",
            "state": "NJ",
            "postal_code": "080971249",
            "country_code": "US",
            "telephone_number": "856-845-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 E Evesham Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434503",
            "country_code": "US",
            "telephone_number": "856-770-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02646800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Intimate Relationships L.L.C. (Center for Intimate Relationships)
• Khayriyyah E.T. Chandler, DO
• Cathy Ann Chapman, M.S., CCC
• Ha Young Choi
• Christine T. Clancey, O.D.
• Bernice L Clark, C.R.N.P.
• Ronald E Clark, DMD
• Courtney Scheflen Cohen, LCSW
• Dara Cohn, M.D.
• Shayne Tyler Coleman, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.