Individual provider · Type 1 NPI

Bennie Clark Jr., DMD

General Practice Dentistry · Jacksonville, FL

NPI number 1437173697 Active

Practice location

5475 Soutel Drive
Jacksonville, FL 32219

Call (904) 764-4576 Map

Fax (904) 766-7021

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN14137 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1437173697

Bennie Clark Jr., DMD's National Provider Identifier is 1437173697, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.