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OAK GROVE DENTAL
NPI 1710384938
Dentist - General Practice in Durham, NC

Active since December 03, 2014
103 GANYARD FARM WAY, DURHAM, NC 27703(919) 957-2444(888) 505-9592 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Oct 27, 2017 (2 updates tracked since 2017).

About Oak Grove Dental NPPES

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

OAK GROVE DENTAL (NPI 1710384938) is a healthcare organization registered as a general practice in Durham, North Carolina and active in the NPI registry since December 2014. The organization lists Bebe Gunter Jackson, Manager, as its authorized official.

NPPES Registry Identity

NPI1710384938
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLARK & OTERO DDS PLLC
Location Address103 GANYARD FARM WAYDurham, NC 27703-6230
Mailing Address103 Ganyard Farm WayDurham, NC 27703 · (919) 597-2444 · Fax (888) 505-9592
Phone(919) 957-2444
Fax(888) 505-9592
Organization SubpartNo
Authorized OfficialBebe Gunter JacksonManager · (910) 863-2377
Enumeration DateDecember 3, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1710384938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 9387
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.
Also ListedDentistTaxonomy 122300000X
103 GANYARD FARM WAY, Durham, NC 27703
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Other Names 1

Doing Business AsOak Grove Dental

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 4

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

CHAVALA M. HARRIS, DDS, PA
Dentist (General Practice)
103 GANYARD FARM WAY
DURHAM, NC 27703
Durham County (919) 957-2444
FULLER & ASSOCIATES VIII PLLC
Dentist (General Practice)
103 GANYARD FARM WAY
DURHAM, NC 27703
Durham County (919) 957-2444
ERIKA MICHELLE GRAHAM DDS
Dentist
103 GANYARD FARM WAY
DURHAM, NC 27703
Durham County (919) 957-2444
CLARK & OTERO DDS PLLC
Dentist
103 GANYARD FARM WAY
DURHAM, NC 27703
Durham County (919) 957-2444

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 Clark & Otero Dds PLLC's NPI number?

The NPI number for Clark & Otero Dds PLLC is 1710384938. It was assigned to this organization in the NPPES registry on December 3, 2014. The provider is doing business as Oak Grove Dental.

Where is Clark & Otero Dds PLLC located?

Clark & Otero Dds PLLC is located at 103 Ganyard Farm Way, Durham, NC 27703. The listed phone number is (919) 957-2444.

What is Clark & Otero Dds PLLC'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 Clark & Otero Dds PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.