Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205843604 Individual Practitioner Male Practitioner

Dr. Edward Mark Clark , DDS

Dentist - General Practice • Cheyenne, WY

Professional Overview & Biography Verified Profile Summary

Dr. Edward Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cheyenne, WY. Practice services are available at 5211 YELLOWSTONE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5211 Yellowstone Rd
Ste # 1

Cheyenne, WY 820094761

Telephone 3076347633
Fax 3076347664

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Cheyenne, WY (245 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 WY 750

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

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 5211 YELLOWSTONE RD, STE # 1, CHEYENNE, WY 820094761 (Tel: 3076347633)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5211 YELLOWSTONE RD, STE # 1, CHEYENNE, WY 820094761 (Tel: 3076347633)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD CLARK, DDS

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

Dentist (License #750 in WY)

🟢
Initial NPI Registration & Enumeration August 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: 1205843604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5211 Yellowstone Rd, Ste # 1

Cheyenne, WY 820094761

Phone: 3076347633

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.