George B. Clarke Jr., D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

23432 Issued in CA

Practice address

7429 N 1St St
Suite 101
Fresno, CA 93720-2852

Phone

(559) 448-9870

Fax

(559) 490-4510

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: gclarke@direct.westerndental.com

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.

• Havens Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fresno, CA
  • NPI 1396997979
  NPD (past)
• Tae Woo Kwon, DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Selma, CA
  • NPI 1730802752
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1780799346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202852",
            "telephone_number": "559-448-9870",
            "fax_number": "559-490-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7429 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202852",
            "telephone_number": "559-448-9870",
            "fax_number": "559-490-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "GEORGE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "23432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Monique Nicole Clark
• Paige Elizabeth Clark
• Patricia Clark
• William E. Clark, DDS
• Camille Amanda Clarke, M.D.
• Kristi Clarke, PH.D.
• Mackenzie Marie Clarke
• Renee Clarke, RN
• Charity Lynn Clarkson, LVN
• Mayra Claros

• Orthodontics and Dentofacial Orthopedics Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.