Dr. Reuben Leon Clark , DDS
Dentist - General Practice • Midvale, UT
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. Reuben Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Reuben Clark, DDS was a registered Dentist - General Practice practicing in Midvale, UT. Throughout an active medical career spanning 6 years, Dr. Clark provided care at the practice location at 655 WEST CENTER STREET until profile deactivation on 2021-04-15.
Practice Location & Contact Primary Location
655 West Center Street
Midvale, UT 84047
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Midvale, UT
Practicing in Midvale, UT (1388 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 15, 2021
NPI status registered as active in NPPES database
Registered at 655 WEST CENTER STREET, MIDVALE, UT 84047 (Tel: 8012532141)
Registered at 655 WEST CENTER STREET, MIDVALE, UT 84047 (Tel: 8016470336)
Recorded as REUBEN CLARK, DDS
Dentist (License #133155-9921 in UT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
655 West Center Street
Midvale, UT 84047
Phone: 8016470336
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