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Active NPI 1467475129 Individual Practitioner Female Practitioner

Dr. Lorraine Polite Clark , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Lorraine Clark, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 12517 YELLOW BLUFF RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12517 Yellow Bluff Rd

Jacksonville, FL 322263809

Telephone 9042047496
Associated Practice Facility / Clinic
🏢 Comfortable Care Dental Health Professionals, P.a. Facility NPI 1194474445

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN14105

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Cordaryl Whitehead

Dentist - General Practice

NPI 1952089609

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location December 15, 2025

Registered at 12517 YELLOW BLUFF RD, JACKSONVILLE, FL 322263809 (Tel: 9042047496)

✅
NPI Profile Active January 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2013

Registered at 5475 SOUTEL DR, JACKSONVILLE, FL 322193464 (Tel: 9047644576)

📍
Updated Business Mailing Address January 16, 2013

Registered at 5475 SOUTEL DR, JACKSONVILLE, FL 322193464 (Tel: 9047644576)

👤
Provider Name / Credentials Updated January 16, 2013

Recorded as LORRAINE CLARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2013

Dentist (License #DN14105 in FL)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467475129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: December 15, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

5475 Soutel Dr

Jacksonville, FL 322193464

Phone: 9047644576

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.