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

Lorraine Polite Clark, DMD

Individual provider General Practice Dentistry · NPI 1467475129

Lorraine Polite Clark, 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

12517 Yellow Bluff Rd
Jacksonville, FL 32226-3809
Phone: (904) 204-7496
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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 DN14105 (FL)

Record details

NPI number1467475129
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address5475 Soutel Dr, Jacksonville, FL 32219-3464

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