DR. CHESTER VAN CLARK JR. D.D.S., M.P.H. NPI 1750653127

Dentist (General Practice) in Amity, AR

NPI 1750653127 Individual Male Dentist General Practice

About CHESTER CLARK

Chester Clark is a provider established in Amity, Arkansas and his medical specialization is dentist (general practice) . The NPI number of Chester Clark is 1750653127 and was assigned on February 2012. The practitioner's primary taxonomy code is 1223G0001X with license number AR2228 (AR). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A dentist like Dr. Chester Van Clark Jr. D.d.s., M.p.h. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Chester Clark is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1750653127

Provider NameDR. CHESTER VAN CLARK JR. D.D.S., M.P.H.
Provider Location Address439 E THOMPSON ST AMITY, AR 71921
Provider Mailing Address439 E THOMPSON ST AMITY, AR 71921
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-01-2012
Last Update Date02-01-2012


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.AR2228
License StateAR
Taxonomy DescriptionA 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.

Business Address

DR. CHESTER VAN CLARK JR. D.D.S., M.P.H.
439 E THOMPSON ST
AMITY, AR
ZIP 71921
Phone: (870) 342-5265
Fax: (870) 342-6292

Get Directions


Mailing Address

DR. CHESTER VAN CLARK JR. D.D.S., M.P.H.
439 E THOMPSON ST
AMITY, AR
ZIP 71921
Phone: (870) 342-5265
Fax: (870) 342-6292



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
101460608MEDICAID (05)AR

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962574327DR. CHESTER V. CLARK, JR. D.D.S., M.P.H., P.C.
Organization
Dentist (General Practice)439 E THOMPSON ST
AMITY, AR 71921
(870) 342-5265

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.