DR. DAVID MATTHEW CLARK DDS
NPI 1902193253
Dentist - General Practice in Holladay, UT
About Dr. David Matthew Clark Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID MATTHEW CLARK DDS (NPI 1902193253) is an individual general practice provider in Holladay, Utah, licensed in Utah (5606768-9922) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. David Matthew Clark Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HOLLADAY, UT 84117
SALT LAKE CITY, UT 84117
HOLLADAY, UT 84117
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 David Clark's NPI number?
The NPI number for David Clark is 1902193253. It was assigned to this individual provider in the NPPES registry on July 7, 2011.
Where is David Clark located?
David Clark practices at 2180 E 4500 S Suite 250, Holladay, UT 84117. The listed phone number is (801) 272-8609.
What is David Clark's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is David Clark enrolled in Medicare?
Yes. David Clark is registered in the Medicare PECOS enrollment system.
What insurance does David Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list David 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 David Clark was last updated on July 7, 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. David Matthew Clark, DDS · NPI 1902193253
General Practice provider in Holladay, Utah. Individual provider, active in the CMS NPPES registry since July 7, 2011.
## Identity
- **NPI:** 1902193253 (Entity type: Individual)
- **Enumerated:** July 7, 2011
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 5606768-9922 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 2180 E 4500 S, SUITE 250, Holladay, UT 84117-4434
- **Phone:** (801) 272-8609
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 7, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1902193253) · Data from the CMS NPPES public registry.