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JOHN W. CLARK PA
NPI 1326306085
Dentist in Bangor, ME

Active since May 01, 2012
753 STILLWATER AVE, BANGOR, ME 04401(207) 990-5887(207) 307-7002 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John W. Clark Pa NPPES

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

JOHN W. CLARK PA (NPI 1326306085) is a healthcare organization registered as a dentist in Bangor, Maine and active in the NPI registry since May 2012. The organization lists John Warren Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1326306085
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJOHN W. CLARK PA
Location Address753 STILLWATER AVEBangor, ME 04401-3633
Mailing Address753 Stillwater AveBangor, ME 04401-3633 · (207) 990-5887 · Fax (207) 307-7002
Phone(207) 990-5887
Fax(207) 307-7002
Organization SubpartNo
Authorized OfficialJohn Warren ClarkOwner · (207) 564-8197
Enumeration DateMay 1, 2012
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
✔ NPI 1326306085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ME · 3365
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
753 STILLWATER AVE, Bangor, ME 04401
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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.

CUSTOM HEARING LLC
Hearing Aid Equipment
753 STILLWATER AVE, SUITE 2
BANGOR, ME 04401
Penobscot County (207) 942-2500
JOHN W. CLARK PA
Durable Medical Equipment & Medical Supplies (Customized Equipment)
753 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 990-5887
MS. KRISTINA ANNE SPAULDING LD
Denturist
753 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 573-4242

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 John W. Clark PA's NPI number?

The NPI number for John W. Clark PA is 1326306085. It was assigned to this organization in the NPPES registry on May 1, 2012.

Where is John W. Clark PA located?

John W. Clark PA is located at 753 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 990-5887.

What is John W. Clark PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for John W. Clark PA was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.