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Active NPI 1467931352 Individual Practitioner Male Practitioner

Dr. Anthony Clark , DDS

Dentist - General Practice • Visalia, CA

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Visalia, CA. Practice services are available at 4129 S MOONEY BLVD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4129 S Mooney Blvd Ste B

Visalia, CA 932779147

Telephone 5597321953
Associated Practice Facility / Clinic
🏢 Fareid Dental Corporation Facility NPI 1265839831

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Visalia, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Visalia, CA (18734 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 CA DDS102890

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

Commercial Insurance / Payer ID California Dental License
DDS102890 (CA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Patricia Torres-Molina , DDS

Dentist - General Practice

NPI 1174870497

Doctor of Dental Surgery

NPI 1336821560

Doctor of Dental Surgery

Dr. Emil Eskander , DDS

Dentist - General Practice

NPI 1497685986

Doctor of Dental Surgery

NPI 1629855812

Doctor of Dental Surgery

NPI 1831910983

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 August 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2018

Registered at 4129 S MOONEY BLVD STE B, VISALIA, CA 932779147 (Tel: 5597321953)

📍
Updated Business Mailing Address August 10, 2018

Registered at 2159 BELLA OAKS DR, TULARE, CA 932747760 (Tel: 5594958085)

👤
Provider Name / Credentials Updated August 10, 2018

Recorded as ANTHONY CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2018

Dentist (License #DDS102890 in CA)

🟢
Initial NPI Registration & Enumeration August 10, 2018

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: 1467931352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2018
Last Update: August 10, 2018
Sole Proprietor: No

Mailing Address

2159 Bella Oaks Dr

Tulare, CA 932747760

Phone: 5594958085

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.