1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Dentist
  6. NPI Profile

DALLAS CLARK DMD
NPI 1447942859
Dentist in Charleston, SC

Active since May 24, 2023PECOS Enrolled
173 ASHLEY AVE, CHARLESTON, SC 29425(843) 876-7645 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dallas Clark Dmd NPPES

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

DALLAS CLARK DMD (NPI 1447942859) is an individual dentist in Charleston, South Carolina, licensed in South Carolina (10487) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447942859
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDALLAS CLARKCredential: DMD
Location Address173 ASHLEY AVECharleston, SC 29425-8908
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone(843) 876-7645
Sole ProprietorYes
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1447942859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 10487
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.
173 ASHLEY AVE, Charleston, SC 29425
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dallas Clark Dmd 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 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 20

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

DR. RACHEL WANG CHEN DMD
Dentist (General Practice)
173 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-2101
DR. MULLEN O COOVER D.D.S.
Dentist (General Practice)
173 ASHLEY AVE, BSB-335
CHARLESTON, SC 29425
Charleston County (843) 792-3765
MALLORY DENISE SWEDBERG
Dentist (General Practice)
173 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-2344
DR. DEVON COLLINS PEREZ DDS
Dentist (Pediatric Dentistry)
173 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 876-7645
DR. SAMUEL THEODORE MCGILL DMD
Dentist
173 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3444
DR. STEPHEN WILLIAM MALLEY D.D.S
Dentist (Prosthodontics)
173 ASHLEY AVE, BSB 547
CHARLESTON, SC 29425
Charleston County (843) 792-4456
TIMOTHY ROHDE DDS
Dentist (Endodontics)
173 ASHLEY AVE, BSB 546, MSC 507
CHARLESTON, SC 29425
Charleston County (843) 792-8335
DR. ROBERT GEOFFREY GELLIN D.M.D., M.H.S.
Dentist (Periodontics)
173 ASHLEY AVE, DENTAL FACULTY PRACTICE, BSB ROOM 346
CHARLESTON, SC 29425
Charleston County (843) 792-3444

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 Dallas Clark's NPI number?

The NPI number for Dallas Clark is 1447942859. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Dallas Clark located?

Dallas Clark practices at 173 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 876-7645.

What is Dallas Clark's specialty?

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

Is Dallas Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dallas Clark was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.