Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396835344 Deactivated / Inactive NPI Male Practitioner

Dr. Monty Clifton Clark , DDS

Dentist - General Practice • Conway, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Monty Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date July 19, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Monty Clark, DDS was a registered Dentist - General Practice practicing in Conway, AR. Throughout an active medical career spanning 11 years, Dr. Clark provided care at the practice location at 8 MEDICAL LN until profile deactivation on 2017-07-19.

Practice Location & Contact Primary Location

Practice Address

8 Medical Ln

Conway, AR 720344913

Telephone 5013270587
Fax 5013360678
Associated Practice Facility / Clinic
🏢 Axpm- Conway Dental Pllc Facility NPI 1427592732

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Conway, AR (909 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 2271

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
NPI 1205439056

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 19, 2017

Record deactivated on July 19, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8 MEDICAL LN, CONWAY, AR 720344913 (Tel: 5013270587)

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Updated Business Mailing Address July 08, 2007

Registered at 8 MEDICAL LN, CONWAY, AR 720344913 (Tel: 5013270587)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MONTY CLARK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2271 in AR)

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Initial NPI Registration & Enumeration October 13, 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: 1396835344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: July 08, 2007
Deactivation Date: July 19, 2017

Mailing Address

8 Medical Ln

Conway, AR 720344913

Phone: 5013270587

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.