# C.J. CLARK AND ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiles On New Bern Avenue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619498268
- **Authorized official:** JENNIFER KING (OPERATIONS MANAGER)
- **Authorized official phone:** (252) 991-6843

## Contact information

- **Practice address:** 3110 NEW BERN AVE, RALEIGH, NC 27610-1200
- **Practice address phone:** (252) 991-6843
- **Mailing address:** 3301 NASH ST NW STE E, WILSON, NC 27896-1642
- **Mailing address phone:** (252) 991-6843
- **Mailing address fax:** (252) 991-6854

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2017
- **Last updated:** 09/11/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1093880643 | — | NC |