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DR. MATTHEW CLARK DDS, MD
NPI 1396905188
Oral & Maxillofacial Surgery in W Harrison, NY

Active since June 15, 2008Opted out of Medicare · through Apr 1, 2028
55 W RED OAK LN, W HARRISON, NY 10604(914) 500-8985(914) 500-8986 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2026, Mar 2, 2022, May 30, 2017 (3 updates tracked since 2017).

About Dr. Matthew Clark Dds, Md NPPES

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

DR. MATTHEW CLARK DDS, MD (NPI 1396905188) is an individual oral & maxillofacial surgery provider in W Harrison, New York, licensed in New York (057328) and active in the NPI registry since June 2008. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396905188
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MATTHEW CLARKCredential: DDS, MD
Location Address55 W RED OAK LNW Harrison, NY 10604-3608
Mailing Address55 W Red Oak LnW Harrison, NY 10604-3608 · (914) 500-8985 · Fax (914) 500-8986
Phone(914) 500-8985
Fax(914) 500-8986
Sole ProprietorNo
Enumeration DateJune 15, 2008
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1396905188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in NY · 057328✔ Licensed in CT · 11099
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
55 W RED OAK LN, W Harrison, NY 10604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, HRI Dental & Vision, Humana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matthew Clark Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. TAREK KORBAN DMD, MD
Dentist (Oral and Maxillofacial Surgery)
55 W RED OAK LN
WEST HARRISON, NY 10604
Westchester County (914) 500-8985
FACIAL AND ORAL SURGERY SPECIALISTS PLLC
Oral & Maxillofacial Surgery
55 W RED OAK LN
WHITE PLAINS, NY 10604
Westchester County (914) 500-8985

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 Matthew Clark's NPI number?

The NPI number for Matthew Clark is 1396905188. It was assigned to this individual provider in the NPPES registry on June 15, 2008.

Where is Matthew Clark located?

Matthew Clark practices at 55 W Red Oak Ln, W Harrison, NY 10604. The listed phone number is (914) 500-8985.

What is Matthew Clark's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Matthew Clark enrolled in Medicare?

No. Matthew Clark has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Matthew Clark accept?

Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and Renaissance Dental and 1 other insurer list Matthew 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 Matthew Clark was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.