Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619985884 Individual Practitioner Male Practitioner

Dr. Alan Douglas Clark , DDS

Dentist - General Practice • Fayetteville, AR

Professional Overview & Biography Verified Profile Summary

Dr. Alan Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fayetteville, AR. Practice services are available at 745 E. JOYCE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

745 E. Joyce
Ste 221

Fayetteville, AR 72703

Telephone 4794431849
Fax 4794432034

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fayetteville, AR

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

Practicing in Fayetteville, 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 3349

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
143894608 (AR)
Commercial Insurance / Payer ID Old Tax Id #
870436704 (AR)
Commercial Insurance / Payer ID New Tax Id #
412175658 (AR)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Brian Drouillard , DDS

Dentist - General Practice

NPI 1326342254

Doctor of Dental Surgery

NPI 1982772018

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2012

Registered at 745 E. JOYCE, STE 221, FAYETTEVILLE, AR 72703 (Tel: 4794431849)

📍
Updated Business Mailing Address October 26, 2012

Registered at 745 E. JOYCE, STE 221, FAYETTEVILLE, AR 72703 (Tel: 4794431849)

👤
Provider Name / Credentials Updated October 26, 2012

Recorded as ALAN CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2012

Dentist (License #3349 in AR)

🟢
Initial NPI Registration & Enumeration August 04, 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: 1619985884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: October 26, 2012
Sole Proprietor: Yes

Mailing Address

745 E. Joyce, Ste 221

Fayetteville, AR 72703

Phone: 4794431849

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.