DR. GLENN D CLARK DDS
NPI 1013925247
Dentist - General Practice in Dallas, TX
About Dr. Glenn D Clark Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLENN D CLARK DDS (NPI 1013925247) is an individual general practice provider in Dallas, Texas, licensed in Texas (11163) and active in the NPI registry since August 2006. He has opted out of Medicare through June 16, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Glenn D Clark Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2016 through June 16, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75238 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Glenn Clark's NPI number?
The NPI number for Glenn Clark is 1013925247. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Glenn Clark located?
Glenn Clark practices at 10405 E Northwest Hwy 204, Dallas, TX 75238. The listed phone number is (214) 348-7000.
What is Glenn Clark's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Glenn Clark enrolled in Medicare?
No. Glenn Clark has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Glenn Clark accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 8 other insurers list Glenn Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Glenn Clark was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Glenn D Clark, DDS · NPI 1013925247
General Practice provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1013925247 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 11163 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10405 E NORTHWEST HWY, 204, Dallas, TX 75238-4619
- **Phone:** (214) 348-7000
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 16, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 10, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1013925247) · Data from the CMS NPPES public registry.