DR. JULIETTE CLARK DMD NPI 1699903351

NPI Information

  • NPI: 1699903351
  • Provider Name: DR. JULIETTE CLARK, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9500 EUCLID AVE # A-70
    CLEVELAND, OH
    ZIP 44195
  • Phone: (216) 444-2200

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NPI Details

DR. Juliette Clark, DMD is a general practice dentist in Cleveland, OH with 17 years of experience. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Juliette Clark, DMD NPI is 1699903351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9500 EUCLID AVE # A-70
CLEVELAND, OH
ZIP 44195-019
Phone: (216) 444-2200

The NPI 1699903351 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/1/2009 and was last updated on 1/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist30.026991OHIONo
2122300000XDentist055358NEW YORKNo
31223G0001XDentistGeneral Practice10456CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004011136MEDICAIDCONNECTICUT
2004236354MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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