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CLARK FAMILY DENTISTRY
NPI 1891896148
Dentist - General Practice in Mandeville, LA

Active since September 26, 2006
639 LOTUS DR N, MANDEVILLE, LA 70471(985) 624-5449(985) 674-0393 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Clark Family Dentistry NPPES

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

CLARK FAMILY DENTISTRY (NPI 1891896148) is a healthcare organization registered as a general practice in Mandeville, Louisiana and active in the NPI registry since September 2006. The organization lists Paul A Clark, Vp, as its authorized official.

NPPES Registry Identity

NPI1891896148
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLARK FAMILY DENTISTRY
Location Address639 LOTUS DR NMandeville, LA 70471
Mailing Address639 Lotus Dr NMandeville, LA 70471 · (985) 624-5449 · Fax (985) 674-0393
Phone(985) 624-5449
Fax(985) 674-0393
Organization SubpartNo
Authorized OfficialPaul A ClarkVp · (985) 624-5449
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1891896148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · LA4476
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.
Also ListedDental HygienistTaxonomy 124Q00000X

Other Identifiers 2

Medicaid1844764LA
OtherA2217Bcbs Of La

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DR. MICHAEL CHRISTIAN GLASSINGER MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
PAUL A CLARK DDS
Dentist (General Practice)
639 LOTUS DR N
MANDEVILLE, LA 70471
St. Tammany Parish (985) 624-5449
DR. ISRAR AHMED MD
Internal Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
DR. EULOGIO E TAN MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
DR. ISAAC A ODUDU MD
Pediatrics
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
DR. JERE MICHAEL DISNEY MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133
CLARK FAMILY DENTISTRY
Dentist (General Practice)
639 LOTUS DR N
MANDEVILLE, LA 70471
St. Tammany Parish (985) 624-5449
DR. WILLIAM H DENNIS JR. MD
Emergency Medicine
639 LOTUS DR N, SUITE B
MANDEVILLE, LA 70471
St. Tammany Parish (985) 626-6133

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 Family Dentistry's NPI number?

The NPI number for Clark Family Dentistry is 1891896148. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Clark Family Dentistry located?

Clark Family Dentistry is located at 639 Lotus Dr N, Mandeville, LA 70471. The listed phone number is (985) 624-5449.

What is Clark Family Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Clark Family Dentistry was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.