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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL DAVID CLARK DDS
NPI 1083568166
Dentist - General Practice in Sandusky, OH

Active since February 24, 2026PECOS Enrolled
420 SUPERIOR ST, SANDUSKY, OH 44870(419) 626-5623 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, May 22, 2026 (2 updates tracked since 2026).

About Michael David Clark Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DAVID CLARK DDS (NPI 1083568166) is an individual general practice provider in Sandusky, Ohio, licensed in Ohio (30.028485) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083568166
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL DAVID CLARKCredential: DDS
Location Address420 SUPERIOR STSandusky, OH 44870-1849
Mailing Address420 Superior StSandusky, OH 44870-1849 · (419) 626-5623
Phone(419) 626-5623
Sole ProprietorYes
Enumeration DateFebruary 24, 2026
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1083568166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30.028485
Definition
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.
420 SUPERIOR ST, Sandusky, OH 44870
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael David Clark Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY PLANK DO
Family Medicine
420 SUPERIOR ST
SANDUSKY, OH 44870
Erie County (419) 626-5623
MARK SMITH MD
Emergency Medicine
420 SUPERIOR ST
SANDUSKY, OH 44870
Erie County (419) 626-5623
KUNAL KANANI DMD
Dentist (General Practice)
420 SUPERIOR ST
SANDUSKY, OH 44870
Erie County (419) 626-5623
YIXUE HAN DDS
Dentist (General Practice)
420 SUPERIOR ST
SANDUSKY, OH 44870
Erie County (419) 626-5623
BARRY GILL
Counselor (Addiction (Substance Use Disorder))
420 SUPERIOR ST
SANDUSKY, OH 44870
Erie County (419) 626-5623
DR. JINBO CHUNG D.M.D.
Dentist
420 SUPERIOR ST, ERIE COUNTY HEALTH DEPARTMENT
SANDUSKY, OH 44870
Erie County (419) 626-5623
MELANIE KENNEBECK PHD
Psychologist (Clinical)
420 SUPERIOR ST
SANDUSKY, OH 44870
Erie County (419) 626-5623
JENNIFER SUSAN WEST NP-C
Nurse Practitioner (Family)
420 SUPERIOR ST
SANDUSKY, OH 44870
Erie County (419) 626-5623

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1083568166. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Michael Clark located?

Michael Clark practices at 420 Superior St, Sandusky, OH 44870. The listed phone number is (419) 626-5623.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Clark enrolled in Medicare?

Yes. Michael Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.