Dr. Robert F Clark , DDS
Dentist - General Practice • Everett, WA
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. Robert Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Clark, DDS was a registered Dentist - General Practice practicing in Everett, WA. Throughout an active medical career spanning 12 years, Dr. Clark provided care at the practice location at 5929 EVERGREEN WAY until profile deactivation on 2018-03-13.
Practice Location & Contact Primary Location
5929 Evergreen Way
Suite 101
Everett, WA 982036031
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Everett, WA
Practicing in Everett, WA (3345 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Specialist
Doctor of Osteopathic Medicine (D.O.)
Dentist - Oral and Maxillofacial Surgery
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Psychologist
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 13, 2018
NPI status registered as active in NPPES database
Registered at 5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 982036031 (Tel: 4253534470)
Registered at 5929 EVERGREEN WAY, SUITE 101, EVERETT, WA 982036031 (Tel: 4253534470)
Recorded as ROBERT CLARK, DDS
Dentist (License #DE00002494 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5929 Evergreen Way, Suite 101
Everett, WA 982036031
Phone: 4253534470
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