# CLARK & VANOVERLOOP DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clark and VanOverloop Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114323664
- **Authorized official:** DR. AARON SAMUEL CLARK DDS (DENTIST / MEMBER)
- **Authorized official phone:** (616) 457-6800

## Contact information

- **Practice address:** 1915 GEORGETOWN CENTER DR, SUITE 101, JENISON, MI 49428-7121
- **Practice address phone:** (616) 457-6800
- **Mailing address:** 1915 GEORGETOWN CENTER DR, SUITE 101, JENISON, MI 49428-7121
- **Mailing address phone:** (616) 457-6800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | MI | Yes |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 10/21/2020