Clark & Otero DDS PLLC
NPI 1710384938ActiveOrganization· Dentist, General Practice· Durham, NC
Dentist, General Practice in Durham, North Carolina, registered in NPPES in December 2014. The authorized official on file is Bebe Gunter Jackson, Manager.
Overview
| NPI | 1710384938 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2014 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | NC |
| Dentist | 122300000X | — | NC |
| Dentist, General Practice | 1223G0001X | 9387 | NC |
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 |
|---|
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