Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316026669 Individual Practitioner Male Practitioner

Dr. Philip K Clark , DMD

Dentist - General Practice • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. Philip Clark, DMD is a registered healthcare professional specializing in Dentist - General Practice in Orange Park, FL. Practice services are available at 1590 ISLAND LN STE 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1590 Island Ln Ste 12

Orange Park, FL 320034408

Telephone 9042787422
Fax 9042151522

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orange Park, FL

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

Practicing in Orange Park, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 12294

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.

Career & Practice History Timeline

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

6 Historical Events
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 1590 ISLAND LN STE 12, ORANGE PARK, FL 320034408 (Tel: 9042787422)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1590 ISLAND LN STE 12, ORANGE PARK, FL 320034408 (Tel: 9042787422)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP CLARK, D.M.D.

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

Dentist (License #12294 in FL)

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Initial NPI Registration & Enumeration November 06, 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: 1316026669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1590 Island Ln Ste 12

Orange Park, FL 320034408

Phone: 9042787422

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.