Bennie Clark Jr DMD PA
NPI 1295023752ActiveOrganization· Dentist· Jacksonville, FL
Dentist in Jacksonville, Florida, registered in NPPES in July 2011. The authorized official on file is Lorraine Polite Clark, DMD, Vice President.
Overview
| NPI | 1295023752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2011 |
| Last updated in NPPES | Nov 1, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Dental Hygienist | 124Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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