Reid M. Clark, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4180 Issued in NC

Legal business name

REID M. CLARK, DDS

Practice address

1115 W Friendly Ave
Greensboro, NC 27401-6137

Phone

(336) 272-4595

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terri Mabe

Title

Office Manager

Phone

(336) 272-4595

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittany P Blue, DDS

  • General Practice Dentistry
  • Greensboro, NC
  • NPI 1972819506
  NPD (past)
• Guy A Ribando III, D.D.S.

  • General Practice Dentistry
  • Greensboro, NC
  • NPI 1518037159
  NPD (past)
• Mark Anthony Wilkinson, D.D.S.

  • General Practice Dentistry
  • Greensboro, NC
  • NPI 1437355567
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821202433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016137",
            "telephone_number": "336-272-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016137",
            "telephone_number": "336-272-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID M. CLARK, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MABE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-272-4595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehobeth Family Counseling Services
• Rehobot Homecare Services
• Rehoboth Homecare Services LLC
• Aviry Lynn Reich, MS, NCC, LPCA
• Peter Reich, LCSW, LCAS
• Allee Grayson Reid
• Felicia Daye Reid, RN
• Joyce Clark Reid, LPC
• Karysha Reid
• Keshia Reid, RN BSN

• General Practice Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.