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NORMAN CHARLES CLARK D.M.D
NPI 1932389889
Dentist - General Practice in Philadelphia, PA

Active since November 08, 2007Opted out of Medicare · through Dec 21, 2027
4401 CONSHOHOCKEN AVE, SUITE 1, PHILADELPHIA, PA 19131(215) 877-9111(215) 877-1524 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Norman Charles Clark D.m.d NPPES

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

NORMAN CHARLES CLARK D.M.D (NPI 1932389889) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS0218962) and active in the NPI registry since November 2007. He has opted out of Medicare through December 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932389889
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNORMAN CHARLES CLARKCredential: D.M.D
Location Address4401 CONSHOHOCKEN AVE, SUITE 1Philadelphia, PA 19131-1553
Mailing Address4401 Conshohocken Ave, Suite 1Philadelphia, PA 19131-1553 · (215) 877-9111 · Fax (215) 877-1524
Phone(215) 877-9111
Fax(215) 877-1524
Sole ProprietorYes
Enumeration DateNovember 8, 2007
✔ NPI 1932389889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS0218962
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.

4401 CONSHOHOCKEN AVE, Philadelphia, PA 19131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Norman Charles Clark D.m.d 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 December 21, 2015 through December 21, 2027.

Opt-Out Effective DateDecember 21, 2015
Opt-Out In Effect ThroughDecember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 3

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

DR. BENJAMIN WILLIAMSON NERO SR. DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
4401 CONSHOHOCKEN AVE, DENTAL SUITE
PHILADELPHIA, PA 19131
Philadelphia County (215) 473-3543
DR. SAUNDRA C CLARK DMD
Dentist
4401 CONSHOHOCKEN AVE, DENTAL SUITE
PHILADELPHIA, PA 19131
Philadelphia County (215) 877-9111
DIANA LAWRENCE
Counselor
4401 CONSHOHOCKEN AVE, APT C10
PHILADELPHIA, PA 19131
Philadelphia County (856) 534-7801

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 Norman Clark's NPI number?

The NPI number for Norman Clark is 1932389889. It was assigned to this individual provider in the NPPES registry on November 8, 2007.

Where is Norman Clark located?

Norman Clark practices at 4401 Conshohocken Ave Suite 1, Philadelphia, PA 19131. The listed phone number is (215) 877-9111.

What is Norman Clark's specialty?

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

Is Norman Clark enrolled in Medicare?

No. Norman Clark has opted out of Medicare through December 21, 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 Norman Clark accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Norman 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 Norman Clark was last updated on November 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.