Larkin Lee Clark, D.D.S., M.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9225 Issued in TN

Practice address

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822

Phone

(901) 382-1564

NPI assigned

Jul 1, 2009

Last updated

Oct 17, 2023By 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

Other identifiers 1

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.

• Bartlett Pediatric Dentistry

  • Pediatric Dentistry
  • Bartlett, TN
  • NPI 1952425282
  NPD (past)
• Timothy P. Bakelaar, D.M.D, PLLC

  dba Bartlett Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Bartlett, TN
  • NPI 1043534829
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1699903310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 PEACH AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125306",
            "telephone_number": "901-485-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 KIRBY WHITTEN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342822",
            "telephone_number": "901-382-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LARKIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178297608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve Grace Cieutat, M.D.
• Circle of Love Home Health
• City of Bartlett (Bartlett Fire Department)
• Clara Butler Nursing and Personal Care Service Inc. for Aging and Disa
• Clarity Homehealth
• Lindsey L Clark, M.S. CCC-SLP
• Rebecca Clark
• Theresa Clash
• Joseph V Clemmons III, D.D.S.
• Clover Counseling Services Inc

• Pediatric Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.