Christopher Clark DDS PA
Christopher Clark DDS PA is a healthcare organization registered as Dentist in Bladenboro, NC, holding Type 2 (organization) NPI 1255506861 since 2008. The authorized official on file is Christopher Clark, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255506861 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Christopher Clark DDS PA |
| Other name | <Unavail> |
| Practice address | 104 FOURTH ST, Bladenboro, NC, 28320 |
| Phone | 9108632377 |
| Fax | 9108632555 |
| Enumeration date | 2008-04-24 |
| Last updated in NPPES | 2008-04-24 |
Authorized official
| Name | Christopher Clark |
|---|---|
| Title | Owner |
| Phone | 9108632377 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Secondary | 8366 | NC |
| 122300000X | Dentist | Primary | 7917 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903289 | Medicaid | NC | — |
Copy-ready billing details
Provider: Christopher Clark DDS PA NPI: 1255506861 Taxonomy: 122300000X (Dentist) Address: 104 FOURTH ST, Bladenboro, NC, 28320
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285863266 | Allison Eggleston | Individual | Pediatric Dentistry | Bladenboro, NC |
| 1164793543 | Clark, Hays and Associates, Pllc | Organization | Dentist | Bladenboro, NC |
Verify this record
Cross-check NPI 1255506861 against the authoritative CMS record: view Christopher Clark DDS PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Christopher Clark DDS PA?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-24.