CLARK PEDIATRIC DENTAL GROUP
NPI 1497116313
Dentist - Pediatric Dentistry in High Point, NC

Q: What is W.A. Clark D.D.S., P.L.L.C.'s NPI number?

The NPI number for W.A. Clark D.D.S., P.L.L.C. is 1497116313. It was assigned to this organization in the NPPES registry on March 20, 2016. The provider is doing business as Clark Pediatric Dental Group.

Q: What is W.A. Clark D.D.S., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 20, 2016

1813 EASTCHESTER DR, SUITE 100, HIGH POINT, NC 27265(405) 503-9615 Get Directions Write a Review

NPPES record last updated: March 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Clark Pediatric Dental Group NPPES

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

CLARK PEDIATRIC DENTAL GROUP (NPI 1497116313) is a healthcare organization registered as a pediatric dentistry in High Point, North Carolina and active in the NPI registry since March 2016. The organization lists Marle Clark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1497116313

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameW.A. CLARK D.D.S., P.L.L.C.

Location Address1813 EASTCHESTER DR, SUITE 100High Point, NC 27265-1573

Mailing Address612 Bellemeade StGreensboro, NC 27401-1903

Phone(405) 503-9615

Organization SubpartNo

Authorized OfficialMarle ClarkOffice Manager · (405) 503-9615

Enumeration DateMarch 20, 2016

✔ NPI 1497116313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NC · 8057

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1813 EASTCHESTER DR, High Point, NC 27265

Open in Google Maps ↗

Other Names 1

Doing Business AsClark Pediatric Dental Group

Other Identifiers 1

Medicare UPIN2410632NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. WALEED AJAMU CLARK DDS

Dentist (Pediatric Dentistry)

1813 EASTCHESTER DR, SUITE 100
HIGH POINT, NC 27265

Guilford County (336) 882-0345

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 W.A. Clark D.D.S., P.L.L.C.'s NPI number?

The NPI number for W.A. Clark D.D.S., P.L.L.C. is 1497116313. It was assigned to this organization in the NPPES registry on March 20, 2016. The provider is doing business as Clark Pediatric Dental Group.

Where is W.A. Clark D.D.S., P.L.L.C. located?

W.A. Clark D.D.S., P.L.L.C. is located at 1813 Eastchester Dr Suite 100, High Point, NC 27265. The listed phone number is (405) 503-9615.

What is W.A. Clark D.D.S., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for W.A. Clark D.D.S., P.L.L.C. was last updated on March 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.