Dr. Paul Milligan Clark , DDS
Dentist - General Practice • Dayton, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Paul Clark, DDS was a registered Dentist - General Practice practicing in Dayton, OH. Throughout an active medical career spanning 16 years, Dr. Clark provided care at the practice location at 5045 N MAIN ST until profile deactivation on 2022-01-28.
Practice Location & Contact Primary Location
5045 N Main St
Suite 125
Dayton, OH 454153698
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Dayton, OH
Practicing in Dayton, OH (4287 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
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Speech-Language Pathologist
Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)
Psychologist
Doctor of Psychology (Psy.D.)
Non-emergency Medical Transport (VAN)
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Pharmacist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 28, 2022
NPI status registered as active in NPPES database
Registered at 5045 N MAIN ST, SUITE 125, DAYTON, OH 454153698 (Tel: 9372774412)
Registered at 5045 N MAIN ST, SUITE 125, DAYTON, OH 454153698 (Tel: 9372774412)
Recorded as PAUL CLARK, D.D.S.
Dentist (License #30-019054 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5045 N Main St, Suite 125
Dayton, OH 454153698
Phone: 9372774412
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