Organization · Type 2 NPI

Bennie Clark JR DMD PA

Dentist · Jacksonville, FL

NPI number 1295023752 Active

Practice location

5475 Soutel Dr
Jacksonville, FL 32219-3464

Fax (904) 722-9900

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Dental Hygienist 124Q00000XNone listed

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 1295023752

Bennie Clark JR DMD PA's National Provider Identifier is 1295023752, issued on Jul 19, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 1, 2019.