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DR. PAUL M. CLARK JR. DDS
NPI 1386758936
Dentist - Oral and Maxillofacial Pathology in Shreveport, LA

Active since August 19, 2006
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE D, SHREVEPORT, LA 71118(318) 687-9800(318) 687-4752 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul M. Clark Jr. Dds NPPES

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

DR. PAUL M. CLARK JR. DDS (NPI 1386758936) is an individual oral and maxillofacial pathology provider in Shreveport, Louisiana, licensed in Louisiana (2432) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1386758936
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. PAUL M. CLARK JR.Credential: DDS
Location Address2120 BERT KOUNS INDUSTRIAL LOOP, SUITE DShreveport, LA 71118-3351
Mailing Address2120 Bert Kouns Industrial Loop, Suite DShreveport, LA 71118-3351 · (318) 687-9800 · Fax (318) 687-4752
Phone(318) 687-9800
Fax(318) 687-4752
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386758936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in LA · 2432
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

2120 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118
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Other Identifiers 2

Medicare ID-Type Unspecified58046LA
Medicare UPINT19750LA

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.

COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Clinic/Center (Federally Qualified Health Center (FQHC))
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE A
SHREVEPORT, LA 71118
Caddo Parish (318) 688-3350
DR. EDWARD GARY CHUMLEY DDS
Dentist (General Practice)
2120 BERT KOUNS INDUSTRIAL LOOP, STE. E
SHREVEPORT, LA 71118
Caddo Parish (318) 688-3350
DR. LEONARD WEATHER JR. M.D.
Obstetrics & Gynecology (Gynecology)
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE C
SHREVEPORT, LA 71118
Caddo Parish (318) 671-5320
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Dentist (General Practice)
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE E
SHREVEPORT, LA 71118
Caddo Parish (318) 688-3350
SHELBY DOLER
Nurse Practitioner (Pediatrics)
2120 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 688-3350
THOMAS E. KINSTREY A MEDICAL CORPORATION
Clinic/Center (Primary Care)
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE M
SHREVEPORT, LA 71118
Caddo Parish (318) 688-0319
DR. THOMAS EDWARD KINSTREY MD
Family Medicine
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE M
SHREVEPORT, LA 71118
Caddo Parish (318) 688-0319
KIRIT S PATEL MD APMC
Internal Medicine
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE F
SHREVEPORT, LA 71118
Caddo Parish (318) 686-1668

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 1386758936. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Paul Clark located?

Paul Clark practices at 2120 Bert Kouns Industrial Loop Suite D, Shreveport, LA 71118. The listed phone number is (318) 687-9800.

What is Paul Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Paul Clark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.