WILLIAM CLARK DDS INC
NPI 1093383952
Dentist - General Practice in Oklahoma City, OK

Active since June 16, 2021
1040 NE 36TH ST, OKLAHOMA CITY, OK 73111(405) 427-5405(405) 427-5406 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Clark Dds Inc NPPES

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

WILLIAM CLARK DDS INC (NPI 1093383952), doing business as Northeast Dental Clinic, is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since June 2021. The organization lists William A Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1093383952
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLIAM CLARK DDS INC
Location Address1040 NE 36TH STOklahoma City, OK 73111-5002
Mailing Address1040 Ne 36th StOklahoma City, OK 73111-5002 · (405) 427-5405 · Fax (405) 427-5406
Fax(405) 427-5406
Organization SubpartNo
Authorized OfficialWilliam A ClarkOwner · (405) 427-5405
Enumeration DateJune 16, 2021
NPPES CertifiedJune 16, 2021
NPI 1093383952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1040 NE 36TH ST, Oklahoma City, OK 73111

Other Names 1

Doing Business AsNortheast Dental Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
1040 NE 36TH ST
OKLAHOMA CITY, OK 73111
Dentist
1040 NE 36TH ST
OKLAHOMA CITY, OK 73111
Dentist
1040 NE 36TH ST
OKLAHOMA CITY, OK 73111

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 William Clark Dds Inc's NPI number?

The NPI number for William Clark Dds Inc is 1093383952. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Northeast Dental Clinic.

Where is William Clark Dds Inc located?

William Clark Dds Inc is located at 1040 NE 36th St, Oklahoma City, OK 73111. The listed phone number is (405) 427-5405.

What is William Clark Dds Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for William Clark Dds Inc was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.