Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336508092 Individual Practitioner Male Practitioner

Dr. Patrick J Clark , DDS

Dentist - Endodontics • River Forest, IL

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Clark, DDS is a registered healthcare professional specializing in Dentist - Endodontics in River Forest, IL. Practice services are available at 7603 NORTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7603 North Ave

River Forest, IL 603051133

Telephone 7084567787
Associated Practice Facility / Clinic
🏢 Cameo Endodontics, Ltd Facility NPI 1700959723

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in River Forest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in River Forest, IL (222 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: 2023-08-04
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License IL 019.032040

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Richard Munaretto , DDS, MS

Dentist - Endodontics

NPI 1124097654

Doctor of Dental Surgery, Master of Science

Taylor Beirne

Nurse Practitioner - Family

NPI 1154041879
Dr. Richard Munaretto , DDS

Dentist - Endodontics

NPI 1164482741

Doctor of Dental Surgery

Dr. Joseph Baptist , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1407085053

Doctor of Dental Surgery

Dr. Keith Sommers , DDS

Dentist - Endodontics

NPI 1568410819

Doctor of Dental Surgery

Dr. Raymond Munaretto , DDS

Dentist - Endodontics

NPI 1609845296

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 04, 2023

Registered at 7603 NORTH AVE, RIVER FOREST, IL 603051133 (Tel: 7084567787)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2023

Dentist (License #019.032040 in IL)

📍
Updated Practice Location May 24, 2021

Registered at UIC COLLEGE OF DENTISTRY, 801 S PAULINA ST,, CHICAGO, IL 60612 (Tel: 2532418160)

📍
Updated Business Mailing Address May 24, 2021

Registered at 548 SHERIDAN RD APT 2N, EVANSTON, IL 602024719 (Tel: 2532418160)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2021

Dentist (License #019.032040 in IL)

NPI Profile Active February 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2016

Registered at 554 KELLY STREET, BUMED, ATTN: CREDENTIALING & PRIVILEGING DIRECTORATE, JACKSONVILLE, FL 32212 (Tel: 2532418160)

📍
Updated Business Mailing Address February 23, 2016

Registered at 312 KEACH LOOP, STEILACOOM, WA 983883029 (Tel: 2532418160)

👤
Provider Name / Credentials Updated February 23, 2016

Recorded as PATRICK CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2016

Dentist (License #DE60584237 in WA)

🟢
Initial NPI Registration & Enumeration February 23, 2016

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: 1336508092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2016
Last Update: August 04, 2023
Sole Proprietor: No

Mailing Address

548 Sheridan Rd Apt 2n

Evanston, IL 602024719

Phone: 2532418160

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.