Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013925247 Individual Practitioner Male Practitioner

Dr. Glenn D Clark , DDS

Dentist - General Practice • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dallas, TX. Practice services are available at 10405 E NORTHWEST HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10405 E Northwest Hwy
204

Dallas, TX 752384619

Telephone 2143487000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
749 Specialists

Practicing in Dallas, 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 11163

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

13 Associated Practitioners
Lawanda Harris

Dental Hygienist

NPI 1215159462
Linda Comito , LPC

Counselor - Professional

NPI 1255537650

Licensed Professional Counselor

Dr. James Caddell , DO

Family Medicine

NPI 1306881503

Doctor of Osteopathic Medicine (D.O.)

Douglas Fonville

Dentist - General Practice

NPI 1417173808
Dr. Honling Yuen , MD

Internal Medicine

NPI 1508808825

Doctor of Medicine (M.D.)

NPI 1508891623

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2016

Registered at 10405 E NORTHWEST HWY, 204, DALLAS, TX 752384619 (Tel: 2143487000)

📍
Updated Business Mailing Address May 10, 2016

Registered at 10405 E. NORTHWEST HWY, 204, DALLAS, TX 752384600

👤
Provider Name / Credentials Updated May 10, 2016

Recorded as GLENN CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2016

Dentist (License #11163 in TX)

🟢
Initial NPI Registration & Enumeration August 03, 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: 1013925247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: May 10, 2016
Sole Proprietor: Yes

Mailing Address

10405 E. Northwest Hwy, 204

Dallas, TX 752384600

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.