Teresa Marie Clark, R.D.A.
NPI 1689759516ActiveIndividual· Dental Assistant· Fairview, TN
Dental Assistant (R.D.A.) in Fairview, Tennessee, licensed in TN, with an NPI issued in October 2006.
Overview
| NPI | 1689759516 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D.A. |
| Sole proprietor | No |
| NPI issued | Oct 26, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Assistant Primary | 126800000X | 3436 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|