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Deactivated NPI 1700890415 Deactivated / Inactive NPI Male Practitioner

Dr. George B Clark , DDS

Dentist - General Practice • Reading, PA

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

Registration / Start Date July 28, 2006
NPI Deactivation Date February 03, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. George Clark, DDS was a registered Dentist - General Practice practicing in Reading, PA. Throughout an active medical career spanning 16 years, Dr. Clark provided care at the practice location at 430 KENHORST BLVD until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

430 Kenhorst Blvd

Reading, PA 196111830

Telephone 6107750321
Fax 6107778884
Associated Practice Facility / Clinic
🏢 Boulevard Dental Associates Facility NPI 1659509404

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Reading, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Reading, PA (4936 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 PA DS017638L

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

1 Associated Practitioners
NPI 1750596045

Doctor of Dental Medicine

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 February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 430 KENHORST BLVD, READING, PA 196111830 (Tel: 6107750321)

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Updated Business Mailing Address July 08, 2007

Registered at 430 KENHORST BLVD, READING, PA 196111830 (Tel: 6107750321)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GEORGE CLARK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS017638L in PA)

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Initial NPI Registration & Enumeration July 28, 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: 1700890415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: July 08, 2007
Deactivation Date: February 03, 2022

Mailing Address

430 Kenhorst Blvd

Reading, PA 196111830

Phone: 6107750321

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.