OrganizationActive
Clark & Otero DDS PLLC
NPI 1790930030 · Dentist · Durham, NC
Clark & Otero DDS PLLC is a Dentist organization in Durham, NC (NPI 1790930030).
Provider details
- NPI number
- 1790930030
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Bebe Jackson, Office Manager(910) 863-2377
- License
- 7917 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
103 Ganyard Farm Way
Durham, NC 27703-6230
Phone: (919) 957-2444
Fax: (888) 505-9592
Street-level locationGet directions
Mailing address
103 Ganyard Farm Way
Durham, NC 27703-6230
Other names (DBA / former)
- Doing business as
- Dental Center at Zebulon
- Doing business as
- Oak Grove Dental
Additional practice locations (1)
- 877 E Gannon AveZebulon, NC 27597-9314Phone: (919) 269-0103Fax: (910) 863-2555
Registry dates
- Enumerated
- 2008-12-01
- Last updated
- 2022-07-21
Frequently asked questions
- What is Clark & Otero DDS PLLC's NPI number?
- Clark & Otero DDS PLLC's National Provider Identifier (NPI) is 1790930030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark & Otero DDS PLLC?
- Clark & Otero DDS PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Clark & Otero DDS PLLC located?
- Clark & Otero DDS PLLC's practice location on file with NPPES is 103 Ganyard Farm Way, Durham, NC 27703-6230.
- What is Clark & Otero DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Clark & Otero DDS PLLC is (919) 957-2444.
- Who is the authorized official for Clark & Otero DDS PLLC?
- The authorized official listed on Clark & Otero DDS PLLC's NPPES record is Bebe Jackson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark & Otero DDS PLLC's NPI active?
- Yes — Clark & Otero DDS PLLC's NPI (1790930030) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.