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DAKOTA B CLARK DMD LLC
NPI 1972101426
Dentist - General Practice in Jacksonville, AL

Active since October 15, 2020
1450 1ST AVE SW, JACKSONVILLE, AL 36265(256) 435-2007 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dakota B Clark Dmd Llc NPPES

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

DAKOTA B CLARK DMD LLC (NPI 1972101426), doing business as Jacksonville Comprehensive Dentistry, is a healthcare organization registered as a general practice in Jacksonville, Alabama and active in the NPI registry since October 2020. The organization lists Dakota B Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1972101426
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDAKOTA B CLARK DMD LLC
Location Address1450 1ST AVE SWJacksonville, AL 36265-3329
Mailing Address1450 1st Ave SwJacksonville, AL 36265-3329 · (256) 435-2007
Phone(256) 435-2007
Organization SubpartNo
Authorized OfficialDakota B ClarkOwner · (256) 435-2007
Enumeration DateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
✔ NPI 1972101426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1450 1ST AVE SW, Jacksonville, AL 36265
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Other Names 1

Doing Business AsJacksonville Comprehensive Dentistry

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 3

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

DR. BRUCE EDWARD CUNNINGHAM DMD
Dentist (General Practice)
1450 1ST AVE SW
JACKSONVILLE, AL 36265
Calhoun County (256) 435-2007
DR. DAKOTA B CLARK DMD
Dentist (General Practice)
1450 1ST AVE SW
JACKSONVILLE, AL 36265
Calhoun County (256) 435-2007
BRUCE E. CUNNINGHAM, DMD PC
Dentist (General Practice)
1450 1ST AVE SW
JACKSONVILLE, AL 36265
Calhoun County (256) 435-2007

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 Dakota B Clark Dmd LLC's NPI number?

The NPI number for Dakota B Clark Dmd LLC is 1972101426. It was assigned to this organization in the NPPES registry on October 15, 2020. The provider is doing business as Jacksonville Comprehensive Dentistry.

Where is Dakota B Clark Dmd LLC located?

Dakota B Clark Dmd LLC is located at 1450 1st Ave SW, Jacksonville, AL 36265. The listed phone number is (256) 435-2007.

What is Dakota B Clark Dmd LLC'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 Dakota B Clark Dmd LLC was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.