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Active NPI 1710909536 Individual Practitioner Male Practitioner

Dr. Robert S Clark , DDS

Dentist - General Practice • Pembroke, MA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pembroke, MA. Practice services are available at 31 SCHOOSETT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31 Schoosett St
Suite 101

Pembroke, MA 02359

Telephone 7818267577
Fax 7818268970
Associated Practice Facility / Clinic
🏢 Center For Behavioral Health,llc Facility NPI 1922294354

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pembroke, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Pembroke, MA (3722 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 MA 13190

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0248126 (MA)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active October 18, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2007

Registered at 31 SCHOOSETT ST, SUITE 101, PEMBROKE, MA 02359 (Tel: 7818267577)

📍
Updated Business Mailing Address October 18, 2007

Registered at 31 SCHOOSETT ST, SUITE 101, PEMBROKE, MA 02359 (Tel: 7818267577)

👤
Provider Name / Credentials Updated October 18, 2007

Recorded as ROBERT CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2007

Dentist (License #13190 in MA)

🟢
Initial NPI Registration & Enumeration July 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: 1710909536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: October 18, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

31 Schoosett St, Suite 101

Pembroke, MA 02359

Phone: 7818267577

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.