# JAMES E. CLARK JR. DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982723763
- **Authorized official:** DR. JAMES EDWARD CLARK JR. D.D.S. (PRESIDENT)
- **Authorized official phone:** (615) 361-6570

## Contact information

- **Practice address:** 616 BELL RD, ANTIOCH, TN 37013-2141
- **Practice address phone:** (615) 361-6570
- **Mailing address:** 616 BELL RD, ANTIOCH, TN 37013-2141
- **Mailing address phone:** (615) 361-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2727 | TN | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020