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Active NPI 1558439174 Individual Practitioner Male Practitioner

Dr. Clark Dale Christoffersen , DDS

Dentist - General Practice • Deer Park, WA

Professional Overview & Biography Verified Profile Summary

Dr. Clark Christoffersen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Deer Park, WA. Practice services are available at 118 E CRAWFORD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

118 E Crawford

Deer Park, WA 99006

Telephone 5092762421

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Deer Park, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Deer Park, WA (3345 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 WA DE00005057

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental
DE00005057

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 118 E CRAWFORD, DEER PARK, WA 99006 (Tel: 5092762421)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 307, 118 E CRAWFORD, DEER PARK, WA 99006 (Tel: 5092762421)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLARK CHRISTOFFERSEN, DDS

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

Dentist (License #DE00005057 in WA)

🟢
Initial NPI Registration & Enumeration December 01, 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: 1558439174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Po Box 307, 118 E Crawford

Deer Park, WA 99006

Phone: 5092762421

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.