DR. MICHAEL KENNETH CLARK DDS
NPI 1619316403
Dentist - Oral and Maxillofacial Surgery in Mission Viejo, CA

Active since June 14, 2013
27725 SANTA MARGARITA PKWY, SUITE 130, MISSION VIEJO, CA 92691(949) 470-3672(949) 472-2095 Get Directions Write a Review

NPPES record last updated: June 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Kenneth Clark Dds NPPES

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

DR. MICHAEL KENNETH CLARK DDS (NPI 1619316403) is an individual oral and maxillofacial surgery provider in Mission Viejo, California, licensed in California (41907) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1619316403
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL KENNETH CLARKCredential: DDS
Location Address27725 SANTA MARGARITA PKWY, SUITE 130Mission Viejo, CA 92691-6704
Mailing Address27725 Santa Margarita Pkwy, Suite 130Mission Viejo, CA 92691-6704 · (949) 470-3672 · Fax (949) 472-2095
Fax(949) 472-2095
Sole ProprietorNo
Enumeration DateJune 14, 2013
NPI 1619316403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 41907
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
27725 SANTA MARGARITA PKWY, Mission Viejo, CA 92691

Accepted Insurance

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.

Dentist
27725 SANTA MARGARITA PKWY, SUITE 120
MISSION VIEJO, CA 92691
Chiropractor (Sports Physician)
27725 SANTA MARGARITA PKWY, SUITE 201
MISSION VIEJO, CA 92691
Dentist (General Practice)
27725 SANTA MARGARITA PKWY, STE 241
MISSION VIEJO, CA 92691
Speech-Language Pathologist
27725 SANTA MARGARITA PKWY, SUITE 221
MISSION VIEJO, CA 92691
Dentist (Orthodontics and Dentofacial Orthopedics)
27725 SANTA MARGARITA PKWY, SUITE 241
MISSION VIEJO, CA 92691
Physical Therapist
27725 SANTA MARGARITA PKWY
MISSION VIEJO, CA 92691
Internal Medicine
27725 SANTA MARGARITA PKWY, SUITE 220
MISSION VIEJO, CA 92691
Clinic/Center (Developmental Disabilities)
27725 SANTA MARGARITA PKWY, SUITE 221
MISSION VIEJO, CA 92691

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1619316403. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Michael Clark located?

Michael Clark practices at 27725 Santa Margarita Pkwy Suite 130, Mission Viejo, CA 92691. The listed phone number is (949) 470-3672.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Michael Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Michael 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 Michael Clark was last updated on June 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.