Individual provider · Type 1 NPI

Lorraine Polite Clark, DMD

General Practice Dentistry · Jacksonville, FL

NPI number 1467475129 Active

Practice location

12517 Yellow Bluff Rd
Jacksonville, FL 32226-3809

Call (904) 204-7496 Map

Mailing address

5475 Soutel Dr
Jacksonville, FL 32219-3464

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN14105 (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 1467475129

Lorraine Polite Clark, DMD's National Provider Identifier is 1467475129, issued on Jul 25, 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 Dec 15, 2025.