DENTAL CENTER AT ZEBULON
NPI 1790930030
Dentist in Durham, NC

Q: What is Clark & Otero Dds PLLC's NPI number?

The NPI number for Clark & Otero Dds PLLC is 1790930030. It was assigned to this organization in the NPPES registry on December 1, 2008. The provider is doing business as Dental Center At Zebulon and Oak Grove Dental.

Q: What is Clark & Otero Dds PLLC's specialty?

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

Active since December 01, 2008

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, Mar 17, 2018, Sep 22, 2017 (3 updates tracked since 2017).

On this page

About Dental Center At Zebulon NPPES

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

DENTAL CENTER AT ZEBULON (NPI 1790930030) is a healthcare organization registered as a dentist in Durham, North Carolina and active in the NPI registry since December 2008. The organization maintains a secondary practice location in Zebulon and lists Bebe Jackson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790930030

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCLARK & OTERO DDS PLLC

Location Address103 GANYARD FARM WAYDurham, NC 27703-6230

Mailing Address103 Ganyard Farm WayDurham, NC 27703-6230 · (919) 957-2444 · Fax (888) 505-9592

Phone(919) 957-2444

Fax(888) 505-9592

Organization SubpartNo

Authorized OfficialBebe JacksonOffice Manager · (910) 863-2377

Enumeration DateDecember 1, 2008

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1790930030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

103 GANYARD FARM WAY, Durham, NC 27703

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Other Names 2

Doing Business AsDental Center At Zebulon

Doing Business AsOak Grove Dental

Secondary Practice Location 1

Location 1877 E Gannon AveZebulon, NC 27597-9314 · Phone (919) 269-0103 · Fax (910) 863-2555

Other Identifiers 1

Medicaid5903289NC

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 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 (General Practice)

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 1790930030. It was assigned to this organization in the NPPES registry on December 1, 2008. The provider is doing business as Dental Center At Zebulon and 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 with taxonomy code 122300000X.

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.