DR. ALBERT BAXTER CLARK D.D.S.
NPI 1477571677
Dentist - General Practice in Provo, UT

Q: What is Albert Clark's NPI number?

The NPI number for Albert Clark is 1477571677. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Albert Clark's specialty?

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

Q: When was this NPI record last updated?

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

Active since July 17, 2006PECOS Enrolled

1355 N UNIVERSITY AVE, SUITE 320, PROVO, UT 84604(801) 375-1750(801) 375-6365 Get Directions Write a Review

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

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About Dr. Albert Baxter Clark D.d.s. NPPES

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

DR. ALBERT BAXTER CLARK D.D.S. (NPI 1477571677) is an individual general practice provider in Provo, Utah, licensed in Utah (139191-9922) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477571677

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ALBERT BAXTER CLARKCredential: D.D.S.

Location Address1355 N UNIVERSITY AVE, SUITE 320Provo, UT 84604-2721

Mailing Address1355 N University Ave, Suite 320Provo, UT 84604-2721 · (801) 375-1750 · Fax (801) 375-6365

Phone(801) 375-1750

Fax(801) 375-6365

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477571677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 139191-9922

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.

1355 N UNIVERSITY AVE, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Albert Baxter Clark D.d.s. 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 84604 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

IHC HEALTH SERVICES INC

Obstetrics & Gynecology

1355 N UNIVERSITY AVE, #110
PROVO, UT 84604

Utah County (801) 374-5000

BRADLEY WAYNE ANDERSON M.D.

Pediatrics

1355 N UNIVERSITY AVE, #210
PROVO, UT 84604

Utah County (801) 373-8930

DR. NATHAN SEWELL PH.D.

Psychologist

1355 N UNIVERSITY AVE
PROVO, UT 84604

Utah County (801) 221-0223

CRYSTAL A. HEER L.P.C.

Counselor (Professional)

1355 N UNIVERSITY AVE, SUITE #200
PROVO, UT 84604

Utah County (801) 221-0223

DR. RANDALL F HYDE PHD

Psychologist

1355 N UNIVERSITY AVE, STE 200
PROVO, UT 84604

Utah County (801) 221-0223

JEFFREY L. JENSEN M.D.

Pediatrics

1355 N UNIVERSITY AVE, #210
PROVO, UT 84604

Utah County (801) 373-8930

DR. PAUL AUSTIN NIELSEN D.D.S

Dentist (General Practice)

1355 N UNIVERSITY AVE, SUITE 330
PROVO, UT 84604

Utah County (801) 373-3150

DR. RANDY GARR DPM

Podiatrist (Foot & Ankle Surgery)

1355 N UNIVERSITY AVE, STE 125
PROVO, UT 84604

Utah County (801) 374-3010

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 Albert Clark's NPI number?

The NPI number for Albert Clark is 1477571677. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Albert Clark located?

Albert Clark practices at 1355 N University Ave Suite 320, Provo, UT 84604. The listed phone number is (801) 375-1750.

What is Albert Clark's specialty?

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

Is Albert Clark enrolled in Medicare?

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

What insurance does Albert Clark accept?

Health plans from Guardian list Albert 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 Albert Clark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.