DR. PATRICIA LYNN CLARK DMD
NPI 1871677476
Dentist - General Practice in Jacksonville, FL

Active since October 24, 2006PECOS Enrolled
751 OAK ST, 601, JACKSONVILLE, FL 32204(904) 354-4031 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patricia Lynn Clark Dmd NPPES

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

DR. PATRICIA LYNN CLARK DMD (NPI 1871677476) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN11948) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871677476
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PATRICIA LYNN CLARKCredential: DMD
Location Address751 OAK ST, 601Jacksonville, FL 32204-3359
Mailing Address238 Solana RdPonte Vedra Beach, FL 32082-2297 · (904) 280-1717 · Fax (904) 280-1525
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateDecember 30, 2015
NPI 1871677476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN11948
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.
751 OAK ST, Jacksonville, FL 32204

Accepted 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. Patricia Lynn 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 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 10

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

Audiologist
751 OAK ST
JACKSONVILLE, FL 32204
Dentist (General Practice)
751 OAK ST, 601
JACKSONVILLE, FL 32204
Dentist (Endodontics)
751 OAK ST
JACKSONVILLE, FL 32204
Ophthalmology
751 OAK ST, 200
JACKSONVILLE, FL 32204
Home Health
751 OAK ST, STE 301
JACKSONVILLE, FL 32204
Otolaryngology
751 OAK ST, SUITE 610
JACKSONVILLE, FL 32204
Doula
751 OAK ST, 751 OAK STREET
JACKSONVILLE, FL 32204
Ophthalmology
751 OAK ST, SUITE 200
JACKSONVILLE, FL 32204

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 Patricia Clark's NPI number?

The NPI number for Patricia Clark is 1871677476. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Patricia Clark located?

Patricia Clark practices at 751 Oak St 601, Jacksonville, FL 32204. The listed phone number is (904) 354-4031.

What is Patricia Clark's specialty?

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

Is Patricia Clark enrolled in Medicare?

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

What insurance does Patricia Clark accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 14 other insurers list Patricia 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 Patricia Clark was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.