BLADENBORO FAMILY DENTISTRY
NPI 1255506861
Dentist in Bladenboro, NC

Active since April 24, 2008
104 FOURTH ST, BLADENBORO, NC 28320(910) 863-2377(910) 863-2555 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bladenboro Family Dentistry NPPES

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

BLADENBORO FAMILY DENTISTRY (NPI 1255506861) is a healthcare organization registered as a dentist in Bladenboro, North Carolina and active in the NPI registry since April 2008. The organization lists Christopher J Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1255506861
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCHRISTOPHER CLARK DDS PA
Location Address104 FOURTH STBladenboro, NC 28320
Mailing Address104 Fourth StBladenboro, NC 28320 · (910) 863-2377 · Fax (910) 863-2555
Fax(910) 863-2555
Organization SubpartNo
Authorized OfficialChristopher J ClarkOwner · (910) 863-2377
Enumeration DateApril 24, 2008
NPI 1255506861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NC · 7917
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 8366 (NC)
104 FOURTH ST, Bladenboro, NC 28320

Other Names 1

Doing Business AsBladenboro Family Dentistry

Other Identifiers 1

Medicaid5903289NC

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

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.

Dentist
104 FOURTH ST
BLADENBORO, NC 28320
Dentist (Pediatric Dentistry)
104 FOURTH ST
BLADENBORO, NC 28320

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 Christopher Clark Dds PA's NPI number?

The NPI number for Christopher Clark Dds PA is 1255506861. It was assigned to this organization in the NPPES registry on April 24, 2008. The provider is doing business as Bladenboro Family Dentistry.

Where is Christopher Clark Dds PA located?

Christopher Clark Dds PA is located at 104 Fourth St, Bladenboro, NC 28320. The listed phone number is (910) 863-2377.

What is Christopher Clark Dds PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Christopher Clark Dds PA was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.