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Deactivated NPI 1841385002 Deactivated / Inactive NPI Male Practitioner

Dr. E. Glenn Clark , DDS

Dentist - General Practice • Cedar Hill, TX

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

Registration / Start Date October 04, 2006
NPI Deactivation Date January 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. E. Clark, DDS was a registered Dentist - General Practice practicing in Cedar Hill, TX. Throughout an active medical career spanning 16 years, Dr. Clark provided care at the practice location at 211 W BELT LINE RD until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

211 W Belt Line Rd

Cedar Hill, TX 751042066

Telephone 9722914281
Fax 9722916466
Associated Practice Facility / Clinic
🏢 Shelly K. Clark D.d.s., P.a. Facility NPI 1669567772

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cedar Hill, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Cedar Hill, TX (10570 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 TX 9195

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
Dr. Brian Clark , DDS

Dentist - General Practice

NPI 1366537524

Doctor of Dental Surgery

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 January 17, 2022

Record deactivated on January 17, 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 211 W BELT LINE RD, CEDAR HILL, TX 751042066 (Tel: 9722914281)

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Updated Business Mailing Address July 08, 2007

Registered at 211 W BELT LINE RD, SOUTH SUITE, CEDAR HILL, TX 751042066 (Tel: 9722914281)

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Provider Name / Credentials Updated July 08, 2007

Recorded as E. CLARK, D.D.S.

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

Dentist (License #9195 in TX)

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Initial NPI Registration & Enumeration October 04, 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: 1841385002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Deactivation Date: January 17, 2022

Mailing Address

211 W Belt Line Rd, South Suite

Cedar Hill, TX 751042066

Phone: 9722914281

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.