Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730422106 Individual Practitioner Male Practitioner

Dr. Daniel Dee Clark , DDS

Dentist - General Practice • Farmington, NM

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Farmington, NM. Practice services are available at 1001 W BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 W Broadway
Suite D And E

Farmington, NM 874015638

Telephone 5053259133
Associated Practice Facility / Clinic
🏢 Presbyterian Medical Services Facility NPI 1053407460

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Farmington, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
35 Specialists

Practicing in Farmington, NM (761 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 NM DD3904

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

5 Associated Practitioners
NPI 1326350356
NPI 1407046360

Doctor of Dental Medicine

Valoree Althoff , RDH

Dental Hygienist

NPI 1649583386

Registered Dental Hygienist

Dr. Warren Graham , DDS

Dentist - General Practice

NPI 1912923566

Doctor of Dental Surgery

Liilia Van Maanen

Dental Hygienist

NPI 1982012456

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2015

Registered at 1001 W BROADWAY, SUITE D AND E, FARMINGTON, NM 874015638 (Tel: 5053259133)

📍
Updated Business Mailing Address February 25, 2015

Registered at 4104 N BUENA VISTA AVE, FARMINGTON, NM 874012374 (Tel: 2147937256)

👤
Provider Name / Credentials Updated February 25, 2015

Recorded as DANIEL CLARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2015

Dentist (License #DD3904 in NM)

🟢
Initial NPI Registration & Enumeration April 03, 2013

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: 1730422106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2013
Last Update: February 25, 2015
Sole Proprietor: No

Mailing Address

4104 N Buena Vista Ave

Farmington, NM 874012374

Phone: 2147937256

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.