Glen Clark, DDS

ActiveIndividual ProviderDentistry
NPI issued: January 10, 2007

Quick Facts

NPI Number
1740339233
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223P0106X — Dentistry
Phone
(213) 740-7405
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1740339233)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 10, 2007)
Data source: CMS NPPES

Provider Overview

GLEN CLARK, DDS is a Dentistry provider based in Los Angeles, CA who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1740339233
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateJanuary 10, 2007

Practice Location

CityLos Angeles
StateCA
ZIP Code90089-0641
Phone(213) 740-7405

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223P0106X
License StateCA

Mailing Address

CityLos Angeles
StateCA
ZIP Code90089-0641
Phone(213) 740-7405
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1740339233 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1740339233for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1740339233 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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962
Dentistry Providers in the US

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People Also Ask

What is Glen Clark's NPI number?
Glen Clark's NPI number is 1740339233, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Glen Clark's NPI currently active?
Yes, Glen Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Glen Clark specialize in?
Glen Clark specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223P0106X.
Where does Glen Clark practice?
Glen Clark practices in Los Angeles, CA 90089-0641.
When was Glen Clark's NPI issued?
Glen Clark's NPI was issued on January 10, 2007.
What is Glen Clark's provider type?
Glen Clark is registered as an Individual Provider under CMS NPI Type 1.