DENTAL SOURCE OF CALIFORNIA
NPI 1104156744
Clinic/Center - Dental in Modesto, CA

Q: What is Donald E. Clarke, D.D.S., Inc.'s NPI number?

The NPI number for Donald E. Clarke, D.D.S., Inc. is 1104156744. It was assigned to this organization in the NPPES registry on January 4, 2010. The provider is doing business as Dental Source Of California.

Q: What is Donald E. Clarke, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 04, 2010

1015 5TH ST, MODESTO, CA 95351(209) 577-4263(209) 577-2056 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dental Source Of California NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL SOURCE OF CALIFORNIA (NPI 1104156744) is a healthcare organization registered as a dental in Modesto, California and active in the NPI registry since January 2010. The organization lists Donald Clarke, Corporation President, as its authorized official.

NPPES Registry Identity

NPI1104156744

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDONALD E. CLARKE, D.D.S., INC.

Location Address1015 5TH STModesto, CA 95351-2810

Mailing Address1015 5th StModesto, CA 95351-2810 · (209) 577-4263 · Fax (209) 577-2056

Phone(209) 577-4263

Fax(209) 577-2056

Organization SubpartNo

Authorized OfficialDonald ClarkeCorporation President · (916) 487-0117

Enumeration DateJanuary 4, 2010

✔ NPI 1104156744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1015 5TH ST, Modesto, CA 95351

Open in Google Maps ↗

Other Names 1

Doing Business AsDental Source Of California

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSH XIAO LIU D.D.S.

Dentist

1015 5TH ST
MODESTO, CA 95351

Stanislaus County (209) 577-4263

JOHN FUJIKAWA DDS

Dentist (Prosthodontics)

1015 5TH ST
MODESTO, CA 95351

Stanislaus County (209) 577-4263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald E. Clarke, D.D.S., Inc.'s NPI number?

The NPI number for Donald E. Clarke, D.D.S., Inc. is 1104156744. It was assigned to this organization in the NPPES registry on January 4, 2010. The provider is doing business as Dental Source Of California.

Where is Donald E. Clarke, D.D.S., Inc. located?

Donald E. Clarke, D.D.S., Inc. is located at 1015 5th St, Modesto, CA 95351. The listed phone number is (209) 577-4263.

What is Donald E. Clarke, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Donald E. Clarke, D.D.S., Inc. was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.