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Active NPI 1689764805 Individual Practitioner Male Practitioner

Dr. David Mantell Clark , DDS

Dentist - Endodontics • Powell, TN

Professional Overview & Biography Verified Profile Summary

Dr. David Clark, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Powell, TN. Practice services are available at 4816 MACMONT CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4816 Macmont Cir

Powell, TN 378494500

Telephone 8659388236
Fax 8656894080

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Powell, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Powell, TN (111 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License TN DS 2097

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active December 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2009

Registered at 4816 MACMONT CIR, POWELL, TN 378494500 (Tel: 8659388236)

📍
Updated Business Mailing Address December 20, 2009

Registered at 4816 MACMONT CIR, POWELL, TN 378494500 (Tel: 8659388236)

👤
Provider Name / Credentials Updated December 20, 2009

Recorded as DAVID CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2009

Dentist (License #DS 2097 in TN)

🟢
Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689764805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: December 20, 2009
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

4816 Macmont Cir

Powell, TN 378494500

Phone: 8659388236

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.