Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295805380 Individual Practitioner Male Practitioner

Dr. Clark G. Dawson , DDS

Dentist • Harvey, IL

Professional Overview & Biography Verified Profile Summary

Dr. Clark Dawson, DDS is a registered healthcare professional specializing in Dentist in Harvey, IL. Practice services are available at 31 W 155TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31 W 155th St

Harvey, IL 604263556

Telephone 7085965177
Fax 7085965518
Associated Practice Facility / Clinic
🏢 J And M Pharmacy Inc Facility NPI 1386686970

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Harvey, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Harvey, IL (4751 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

CMS Verified: 2023-04-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019022252

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
019022252 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Maira Ochoa , APN

Nurse Practitioner - Family

NPI 1003303769

Advanced Practice Nurse

Mia Webster-Cross , RN, BSN

Registered Nurse - Administrator

NPI 1013406180

Registered Nurse, Bachelor of Science in Nursing

NPI 1033353792

Doctor of Osteopathic Medicine (D.O.)

Yvette Johnson , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043608631

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Beryl Armstrong , LCPC

Counselor - Professional

NPI 1043755697

Licensed Clinical Professional Counselor

NPI 1053020107

Licensed Professional Counselor

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 27, 2023

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 7085965177)

📍
Updated Business Mailing Address April 27, 2023

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 7085965177)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2023

Dentist (License #019022252 in IL)

NPI Profile Active October 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2012

Registered at 1525 E 53RD ST, SUITE 505, CHICAGO, IL 606154557 (Tel: 3129538708)

📍
Updated Business Mailing Address October 18, 2012

Registered at 2480 198TH ST APT 1E, LYNWOOD, IL 604111388 (Tel: 3129538708)

👤
Provider Name / Credentials Updated October 18, 2012

Recorded as CLARK DAWSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2012

Dentist (License #019-000252 in IL)

🟢
Initial NPI Registration & Enumeration November 08, 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: 1295805380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: April 27, 2023
Sole Proprietor: No

Mailing Address

31 W 155th St

Harvey, IL 604263556

Phone: 7085965177

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.