MEDICARE: DR. DAVID MICHAEL CLARK DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401411484	VA

General Provider Information

NPI Number	:	1710060322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MICHAEL CLARK DDS

Provider Business Mailing Address
First Line	:	10228 ANTIETAM CT
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22408-0802
Country	:	US
Telephone Number	:	804-313-7190
Fax Number	:

Provider Business Practice Location Address
First Line	:	5205 COURTHOUSE RD STE 201
Second Line	:
City	:	SPOTSYLVANIA
State	:	VA
Zip	:	22551-6326
Country	:	US
Telephone Number	:	540-895-7330
Fax Number	:	540-895-7328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	03/10/2023

Similar Medicare Providers

1689439267 — MR. DAVID ASANTE JR. NP
Practice Location Address:

11711 ROBIN WOODS CIR
SPOTSYLVANIA, VA
22551-8964

Practice Phone: 410-868-4688
Practice Fax:

1477542629 — DR. STEPHANIE L. LESTER-SIMMONDS M.D.
Practice Location Address:

11415 SEYMOUR LN
SPOTSYLVANIA, VA
22551-4633

Practice Phone: 540-287-0041
Practice Fax: 540-972-3686

1063568186 — CHARMAIN NAPPER PTA, BIRTH DOULA
Practice Location Address:

11801 BLEASDELL DR
SPOTSYLVANIA, VA
22551-8173

Practice Phone: 360-969-0960
Practice Fax: 360-969-0960

1174662688 — MRS. DIANNA HACK HART LCSW
Practice Location Address:

8915 MILLWOOD DR
SPOTSYLVANIA, VA
22551-3320

Practice Phone: 540-226-3061
Practice Fax:

1306083852 — MR. JAMES E TAYLOR
Practice Location Address:

7318 DEER RIDGE WAY
SPOTSYLVANIA, VA
22551-3110

Practice Phone: 540-582-3367
Practice Fax:

1538394259 — PENNY WHETZLER
Practice Location Address:

8711 ALSOP TOWN RD
SPOTSYLVANIA, VA
22551-3335

Practice Phone: 540-582-7420
Practice Fax:

Directions to “ DR. DAVID MICHAEL CLARK DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.