Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174945919 Individual Practitioner Male Practitioner

Larry Clark

Dentist - General Practice • Boscobel, WI

Professional Overview & Biography Verified Profile Summary

Larry Clark is a registered healthcare professional specializing in Dentist - General Practice in Boscobel, WI. Practice services are available at 105 E BLUFF ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 E Bluff St

Boscobel, WI 538051610

Telephone 6083754549
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boscobel, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Boscobel, WI (2459 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 WI 5001678

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

2 Associated Practitioners
Dr. Keith Nance , DDS

Dentist - General Practice

NPI 1356361935

Doctor of Dental Surgery

Joel Ledvina

Student in an Organized Health Care Education/Training Program

NPI 1881275501

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2014

Registered at 105 E BLUFF ST, BOSCOBEL, WI 538051610 (Tel: 6083754549)

📍
Updated Business Mailing Address January 14, 2014

Registered at 105 E BLUFF ST, BOSCOBEL, WI 538051610 (Tel: 6083754549)

👤
Provider Name / Credentials Updated January 14, 2014

Recorded as LARRY CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2014

Dentist (License #5001678 in WI)

🟢
Initial NPI Registration & Enumeration January 14, 2014

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: 1174945919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2014
Last Update: January 14, 2014
Sole Proprietor: No

Mailing Address

105 E Bluff St

Boscobel, WI 538051610

Phone: 6083754549

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.