MEDICARE: DR. AARON SAMUEL CLARK D.D.S

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	122300000X	Dentist	2901020422	MI

General Provider Information

NPI Number	:	1841583838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON SAMUEL CLARK D.D.S

Provider Business Mailing Address
First Line	:	1915 GEORGETOWN CENTER DR
Second Line	:	SUITE 101
City	:	JENISON
State	:	MI
Zip	:	49428-7121
Country	:	US
Telephone Number	:	616-457-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1915 GEORGETOWN CENTER DR
Second Line	:	SUITE 101
City	:	JENISON
State	:	MI
Zip	:	49428-7121
Country	:	US
Telephone Number	:	616-457-6800
Fax Number	:

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

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	05/24/2011

Similar Medicare Providers

1376235002 — SOPHIA JEAN RACHWAL
Practice Location Address:

1915 GEORGETOWN CENTER DR STE 101
JENISON, MI
49428-7121

Practice Phone: 616-209-8280
Practice Fax:

1851311807 — DR. STEVEN M HALL D.D.S
Practice Location Address:

1915 GEORGETOWN CENTER DR , SUITE 101
JENISON, MI
49428-7121

Practice Phone: 616-457-6800
Practice Fax: 616-457-8368

1285919605 — DR. HOLLY G AYLWORTH D.D.S.
Practice Location Address:

1915 GEORGETOWN CENTER DR , SUITE 101
JENISON, MI
49428-7121

Practice Phone: 616-457-6800
Practice Fax: 616-457-8368

1184995177 — JAMIE HEBNER PT
Practice Location Address:

1915 GEORGETOWN CENTER DR STE 102
JENISON, MI
49428-7121

Practice Phone: 616-356-5000
Practice Fax: 616-356-5001

1316219629 — JON VOS PT
Practice Location Address:

1915 GEORGETOWN CENTER DR
JENISON, MI
49428-7121

Practice Phone: 616-356-5000
Practice Fax: 616-356-5001

1114323664 — CLARK & VANOVERLOOP DDS PLLC
Practice Location Address:

1915 GEORGETOWN CENTER DR , SUITE 101
JENISON, MI
49428-7121

Practice Phone: 616-457-6800
Practice Fax:

Directions to “ DR. AARON SAMUEL CLARK D.D.S” 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.