DR. GREGORY DALE CLARK D.D.S.
NPI 1114064797
Dentist - General Practice in Oakwood, GA

Q: What is Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1114064797. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Gregory Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 31, 2007

4212 MCEVER RD, OAKWOOD, GA 30566(770) 534-1816(770) 534-3059 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gregory Dale Clark D.d.s. NPPES

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

DR. GREGORY DALE CLARK D.D.S. (NPI 1114064797) is an individual general practice provider in Oakwood, Georgia, licensed in Georgia (8846) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114064797

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GREGORY DALE CLARKCredential: D.D.S.

Location Address4212 MCEVER RDOakwood, GA 30566-2237

Mailing Address4212 Mcever RoadOakwood, GA 30566 · (770) 534-4663 · Fax (770) 534-3059

Phone(770) 534-1816

Fax(770) 534-3059

Sole ProprietorYes

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114064797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 8846

Definition

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.

4212 MCEVER RD, Oakwood, GA 30566

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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 Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1114064797. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Gregory Clark located?

Gregory Clark practices at 4212 Mcever Rd, Oakwood, GA 30566. The listed phone number is (770) 534-1816.

What is Gregory Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gregory Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.