Janice D Clark, DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

8703 Issued in NC

Legal business name

JANICE D CLARK, DDS, PA

Practice address

680 US Hwy 1 N
Suite 500
Youngsville, NC 27596

Phone

(919) 263-9568

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Janice D Clark, DDS

Title

Dentist/ Owner

Phone

(919) 263-9568

Specialties & licenses 1

Addresses

Other names 1

• Clark Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1831524768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 US HWY 1 N",
            "address_2": "SUITE 500",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "27596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 US HWY 1 N",
            "address_2": "SUITE 500",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "27596",
            "telephone_number": "919-263-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE D CLARK, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "919-263-9568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.