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

Dr. Theodore Glenn Clark, DDS

Individual provider Dentist · NPI 1144321936

Dr. Theodore Glenn Clark, DDS is a Dentist in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3165 Maplewood Ave
Winston Salem, NC 27103
Phone: (336) 765-8358
Fax: (336) 774-1063
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6127 (NC)

Record details

NPI number1144321936
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Winston Salem