Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356639892 Individual Practitioner Male Practitioner

Dr. Ryan James Clark , DDS

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 580 W PARKCENTER BLVD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

580 W Parkcenter Blvd Ste B

Boise, ID 83706

Telephone 2083368478
Fax 2083422703
Associated Practice Facility / Clinic
🏢 Hidden Creek Dental Facility NPI 1225578768

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 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 ID 4375

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
Dr. Harvey Clark , DDS

Dentist - General Practice

NPI 1659522043

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 July 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2011

Registered at 580 W PARKCENTER BLVD STE B, BOISE, ID 83706 (Tel: 2083368478)

📍
Updated Business Mailing Address July 19, 2011

Registered at 580 W PARKCENTER BLVD STE B, BOISE, ID 83706 (Tel: 2083368478)

👤
Provider Name / Credentials Updated July 19, 2011

Recorded as RYAN CLARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2011

Dentist (License #4375 in ID)

🟢
Initial NPI Registration & Enumeration July 19, 2011

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: 1356639892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2011
Last Update: July 19, 2011
Sole Proprietor: Yes

Mailing Address

580 W Parkcenter Blvd Ste B

Boise, ID 83706

Phone: 2083368478

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.