DR. CLEOPHUS BENSON CLARK DDS
NPI 1114022720
Dentist in Alexandria, VA

Q: What is Cleophus Clark's NPI number?

The NPI number for Cleophus Clark is 1114022720. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Cleophus Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Cleophus Clark was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since September 14, 2006

5695 KING CENTRE DR, SUITE B100, ALEXANDRIA, VA 22315(703) 719-9824(703) 719-6206 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Cleophus Benson Clark Dds NPPES

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

DR. CLEOPHUS BENSON CLARK DDS (NPI 1114022720) is an individual dentist in Alexandria, Virginia, licensed in Virginia (0401003822) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1114022720

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CLEOPHUS BENSON CLARKCredential: DDS

Location Address5695 KING CENTRE DR, SUITE B100Alexandria, VA 22315-5744

Mailing Address5695 King Centre Dr, Suite B100Alexandria, VA 22315-5744 · (703) 719-9824 · Fax (703) 719-6206

Phone(703) 719-9824

Fax(703) 719-6206

Sole ProprietorYes

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJune 26, 2025

NPPES CertifiedJune 26, 2025

✔ NPI 1114022720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401003822

Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5695 KING CENTRE DR, Alexandria, VA 22315

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Florida Combined Life and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

DR. CELESTE SIGUA BALINO D.D.S.

Dentist

5695 KING CENTRE DR, SUITE B100
ALEXANDRIA, VA 22315

Fairfax County (703) 719-9824

C BENSON CLARK, DDS, PC

Dentist (General Practice)

5695 KING CENTRE DR, STE. B-100
ALEXANDRIA, VA 22315

Fairfax County (703) 719-9824

MICAELA SANDERS RBT

Behavior Technician

5695 KING CENTRE DR, SUITE B-101
ALEXANDRIA, US 22315

Fairfax County (703) 680-9527

DR. SUSANNE PETRA COOK SLP

Speech-Language Pathologist

5695 KING CENTRE DR, STE. 100
ALEXANDRIA, VA 22315

Fairfax County (540) 720-2261

MARIEL CASTANEDA

Behavior Technician

5695 KING CENTRE DR, UNIT 101
ALEXANDRIA, VA 22315

Fairfax County (703) 680-9527

SIERRA BRIGGS

Speech-Language Pathologist

5695 KING CENTRE DR
ALEXANDRIA, VA 22315

Fairfax County (571) 303-1298

RENAL TREATMENT CENTERS MID ATLANTIC INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

5695 KING CENTRE DR, STE 105
ALEXANDRIA, VA 22315

Fairfax County (703) 921-9506

LINDSAY LUSTIG PT, DPT

Physical Therapist (Pediatrics)

5695 KING CENTRE DR, STE. 100
ALEXANDRIA, VA 22315

Fairfax County (540) 720-2261

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 Cleophus Clark's NPI number?

The NPI number for Cleophus Clark is 1114022720. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Cleophus Clark located?

Cleophus Clark practices at 5695 King Centre Dr Suite B100, Alexandria, VA 22315. The listed phone number is (703) 719-9824.

What is Cleophus Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Cleophus Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Florida Combined Life, Humana and UnitedHealthcare list Cleophus Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleophus Clark was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.