What is Theodore Clark's NPI number?

Theodore Clark's National Provider Identifier (NPI) is 1144321936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Theodore Clark's specialty?

Theodore Clark is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Theodore Clark located?

Theodore Clark's practice location on file with NPPES is 3165 Maplewood Avenue, Winston-Salem, NC 27103.

What is Theodore Clark's phone number?

The practice phone number listed in the NPPES registry for Theodore Clark is (336) 765-8358.

Is Theodore Clark's NPI active?

Yes — Theodore Clark's NPI (1144321936) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Theodore Clark, DDS

NPI 1144321936 · Dentist · Winston-Salem, NC

Theodore Clark, DDS is a Dentist provider in Winston-Salem, NC (NPI 1144321936).

Provider details

NPI number: 1144321936
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 6127 (NC)

Specialties & taxonomies

DentistPrimary122300000XLicense 6127 (NC)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3165 Maplewood Avenue

Winston-Salem, NC 27103

Phone: (336) 765-8358

Fax: (336) 774-1063

Street-level locationGet directions

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Mailing address