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PAUL A CLARK DDS
NPI 1184872947
Dentist - General Practice in Mandeville, LA

Active since September 05, 2008PECOS Enrolled
639 LOTUS DR N, MANDEVILLE, LA 70471(985) 624-5449(985) 674-0393 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul A Clark Dds NPPES

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

PAUL A CLARK DDS (NPI 1184872947) is an individual general practice provider in Mandeville, Louisiana, licensed in Louisiana (LA4476) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184872947
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePAUL A CLARKCredential: DDS
Location Address639 LOTUS DR NMandeville, LA 70471-2926
Mailing Address639 Lotus Dr NMandeville, LA 70471-2926 · (985) 624-5449 · Fax (985) 674-0393
Phone(985) 624-5449
Fax(985) 674-0393
Sole ProprietorNo
Enumeration DateSeptember 5, 2008
✔ NPI 1184872947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · LA4476
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.
639 LOTUS DR N, Mandeville, LA 70471
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Other Identifiers 3

Other#150499LA · United Concordia
OtherA2217LA · Bcbc Of La
Medicaid1844764LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul A 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 70471 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 8

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

DR. MICHAEL CHRISTIAN GLASSINGER MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
DR. ISRAR AHMED MD
Internal Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
DR. EULOGIO E TAN MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
DR. ISAAC A ODUDU MD
Pediatrics
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
DR. JERE MICHAEL DISNEY MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
CLARK FAMILY DENTISTRY
Dentist (General Practice)
639 LOTUS DR N
MANDEVILLE, LA 70471
St. Tammany Parish (985) 624-5449
CLARK FAMILY DENTISTRY
Dentist (General Practice)
639 LOTUS DR N
MANDEVILLE, LA 70471
St. Tammany Parish (985) 624-5449
DR. WILLIAM H DENNIS JR. MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133

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 Paul Clark's NPI number?

The NPI number for Paul Clark is 1184872947. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Paul Clark located?

Paul Clark practices at 639 Lotus Dr N, Mandeville, LA 70471. The listed phone number is (985) 624-5449.

What is Paul Clark's specialty?

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

Is Paul Clark enrolled in Medicare?

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

What insurance does Paul Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 14 other insurers list Paul 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 Paul Clark was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.