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DR. PHILIP E CLARK DDS
NPI 1417031006
Dentist - General Practice in Quincy, IL

Active since October 24, 2006

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Philip E Clark Dds NPPES

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

DR. PHILIP E CLARK DDS (NPI 1417031006) is an individual general practice provider in Quincy, Illinois, licensed in Illinois (19013326) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417031006
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILIP E CLARKCredential: DDS
Location Address2002 MAINEQuincy, IL 62301
Mailing Address2002 MaineQuincy, IL 62301 · (217) 223-5080
Phone(217) 223-5080
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417031006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 19013326
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.
2002 MAINE, Quincy, IL 62301
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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 Philip Clark's NPI number?

The NPI number for Philip Clark is 1417031006. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Philip Clark located?

Philip Clark practices at 2002 Maine, Quincy, IL 62301. The listed phone number is (217) 223-5080.

What is Philip Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Philip 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.