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Deactivated NPI 1811073067 Deactivated / Inactive NPI Male Practitioner

Dr. William Allen Clark , DDS

Dentist • Oklahoma City, OK

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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. William Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2006
NPI Deactivation Date June 19, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. William Clark, DDS was a registered Dentist practicing in Oklahoma City, OK. Throughout an active medical career spanning 18 years, Dr. Clark provided care at the practice location at 1040 NE 36TH STREET until profile deactivation on 2024-06-19.

Practice Location & Contact Primary Location

Practice Address

1040 Ne 36th Street

Oklahoma City, OK 73111

Telephone 4054275405
Fax 4054275406
Associated Practice Facility / Clinic
🏢 W.a. Clark, D.d.s., P.l.l.c. Facility NPI 1740521509

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
260 Specialists

Practicing in Oklahoma City, OK (1115 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 3689

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

NPI Profile Active April 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 10, 2012

Registered at 1040 NE 36TH STREET, OKLAHOMA CITY, OK 73111 (Tel: 4054275405)

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Updated Business Mailing Address April 10, 2012

Registered at 1040 NE 36 OKC, OKLAHOMA CITY, OK 73111 (Tel: 4054275405)

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Provider Name / Credentials Updated April 10, 2012

Recorded as WILLIAM CLARK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2012

Dentist (License #3689 in OK)

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Initial NPI Registration & Enumeration October 31, 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: 1811073067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: April 10, 2012
Deactivation Date: June 19, 2024

Mailing Address

1040 Ne 36 Okc

Oklahoma City, OK 73111

Phone: 4054275405

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.