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BENNIE CLARK JR. DMD
NPI 1437173697
Dentist - General Practice in Jacksonville, FL

Active since July 27, 2006
5475 SOUTEL DRIVE, JACKSONVILLE, FL 32219(904) 764-4576(904) 766-7021 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bennie Clark Jr. Dmd NPPES

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

BENNIE CLARK JR. DMD (NPI 1437173697) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN14137) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1437173697
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBENNIE CLARK JR.Credential: DMD
Location Address5475 SOUTEL DRIVEJacksonville, FL 32219
Mailing Address5475 Soutel DriveJacksonville, FL 32219 · (904) 764-4576 · Fax (904) 766-7021
Phone(904) 764-4576
Fax(904) 766-7021
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437173697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN14137
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.
5475 SOUTEL DRIVE, Jacksonville, FL 32219
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Accepted Insurance

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

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 Bennie Clark's NPI number?

The NPI number for Bennie Clark is 1437173697. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Bennie Clark located?

Bennie Clark practices at 5475 Soutel Drive, Jacksonville, FL 32219. The listed phone number is (904) 764-4576.

What is Bennie Clark's specialty?

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

What insurance does Bennie Clark accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Bennie 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 Bennie 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.