Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417031006 Individual Practitioner Male Practitioner

Dr. Philip E Clark , DDS

Dentist - General Practice • Quincy, IL

Professional Overview & Biography Verified Profile Summary

Dr. Philip Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Quincy, IL. Practice services are available at 2002 MAINE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2002 Maine

Quincy, IL 62301

Telephone 2172235080

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Quincy, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Quincy, IL (5581 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 IL 19013326

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 2002 MAINE, QUINCY, IL 62301 (Tel: 2172235080)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2002 MAINE, QUINCY, IL 62301 (Tel: 2172235080)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP CLARK, DDS

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

Dentist (License #19013326 in IL)

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Initial NPI Registration & Enumeration October 24, 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: 1417031006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2002 Maine

Quincy, IL 62301

Phone: 2172235080

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.