DR. CLARK O TAYLOR M.D.,D.D.S.
NPI 1689745804
Oral & Maxillofacial Surgery in Missoula, MT
About Dr. Clark O Taylor M.d.,d.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLARK O TAYLOR M.D.,D.D.S. (NPI 1689745804) is an individual oral & maxillofacial surgery provider in Missoula, Montana, licensed in Montana (7822) and active in the NPI registry since November 2006. He has opted out of Medicare through March 20, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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. Clark O Taylor M.d.,d.d.s. 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 March 20, 2017 through March 20, 2027.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISSOULA, MT 59801
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 Clark Taylor's NPI number?
The NPI number for Clark Taylor is 1689745804. It was assigned to this individual provider in the NPPES registry on November 10, 2006.
Where is Clark Taylor located?
Clark Taylor practices at 805 S Reserve St, Missoula, MT 59801. The listed phone number is (406) 549-6600.
What is Clark Taylor's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Clark Taylor enrolled in Medicare?
No. Clark Taylor has opted out of Medicare through March 20, 2027. 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 Clark Taylor accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and PacificSource Health Plans and 1 other insurer list Clark Taylor 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 Clark Taylor was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Clark O Taylor, M.D.,D.D.S. · NPI 1689745804
Oral & Maxillofacial Surgery physician in Missoula, Montana. Individual provider, active in the CMS NPPES registry since November 10, 2006.
## Identity
- **NPI:** 1689745804 (Entity type: Individual)
- **Enumerated:** November 10, 2006
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 7822 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 805 S RESERVE ST, Missoula, MT 59801-2104
- **Phone:** (406) 549-6600
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 20, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 30, 2011
- **Other identifiers:** Medicaid 1689745804 (MT)
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Source: [NPI Profile](https://npiprofile.com/npi/1689745804) · Data from the CMS NPPES public registry.