Search › Florida › 1223G0001X
Bennie Clark, DMD
NPI 1437173697 · on the registry since 2006
Practice
- Address
- 5475 Soutel Drive
Jacksonville, FL 32219 - Phone
- (904) 764-4576
- Fax
- (904) 766-7021
- Organisation at this address
- Bennie Clark Jr Dmd Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida