Individual provider · Type 1 NPI

Cleophus Benson Clark, DDS

Dentist · Alexandria, VA

NPI number 1114022720 Active

Practice location

5695 King Centre Dr, Suite B100
Alexandria, VA 22315-5744

Call (703) 719-9824 Map

Fax (703) 719-6206

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X0401003822 (VA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114022720

Cleophus Benson Clark, DDS's National Provider Identifier is 1114022720, issued on Sep 14, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Alexandria, VA. The record was last updated on Jun 26, 2025.