Dr. Grace Xinxing Clark , DDS
Dentist - General Practice • Fort Wayne, IN
Professional Overview & Biography Verified Profile Summary
Dr. Grace Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 4716 ILLINOIS RD STE 101 under active NPI credentials.
Practice Location & Contact Primary Location
4716 Illinois Rd Ste 101
Fort Wayne, IN 468045123
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fort Wayne, IN
Practicing in Fort Wayne, IN (2204 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist
Doctor of Dental Medicine
Dentist
Doctor of Dental Surgery
Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 4716 ILLINOIS RD STE 101, FORT WAYNE, IN 468045123 (Tel: 2604327970)
Registered at 5120 BROOKSTONE WAY, INDIANAPOLIS, IN 462685417 (Tel: 8122516241)
Recorded as GRACE CLARK, DDS
Dentist (License #12012818A in IN)
NPI status registered as active in NPPES database
Registered at 4716 ILLINOIS RD STE 101, FORT WAYNE, IN 468045123 (Tel: 2604327970)
Registered at 5120 BROOKSTONE WAY, INDIANAPOLIS, IN 462685417 (Tel: 8122516241)
Recorded as GRACE CLARK, DDS
Dentist (License #12012818A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5120 Brookstone Way
Indianapolis, IN 462685417
Phone: 8122516241
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