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EDWARD MARK CLARK DDS
NPI 1205843604
Dentist - General Practice in Cheyenne, WY

Active since August 01, 2006PECOS Enrolled
5211 YELLOWSTONE RD, STE # 1, CHEYENNE, WY 82009(307) 634-7633(307) 634-7664 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Mark Clark Dds NPPES

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

EDWARD MARK CLARK DDS (NPI 1205843604) is an individual general practice provider in Cheyenne, Wyoming, licensed in Wyoming (750) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205843604
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDWARD MARK CLARKCredential: DDS
Location Address5211 YELLOWSTONE RD, STE # 1Cheyenne, WY 82009-4761
Mailing Address5211 Yellowstone Rd, Ste # 1Cheyenne, WY 82009-4761 · (307) 634-7633 · Fax (307) 634-7664
Phone(307) 634-7633
Fax(307) 634-7664
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205843604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WY · 750
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.
5211 YELLOWSTONE RD, Cheyenne, WY 82009
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Edward Mark 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 82009 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

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 Edward Clark's NPI number?

The NPI number for Edward Clark is 1205843604. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Edward Clark located?

Edward Clark practices at 5211 Yellowstone Rd Ste # 1, Cheyenne, WY 82009. The listed phone number is (307) 634-7633.

What is Edward Clark's specialty?

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

Is Edward Clark enrolled in Medicare?

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

What insurance does Edward Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Edward 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 Edward Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.