Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bennie Clark Jr., DMD

Individual provider General Practice Dentistry · NPI 1437173697

Bennie Clark Jr., DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5475 Soutel Dr
Jacksonville, FL 32219
Phone: (904) 764-4576
Fax: (904) 766-7021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN14137 (FL)

Record details

NPI number1437173697
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007

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