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JOHN NICHOLAS CLARK D.D.S., PA
NPI 1992056998
Dentist - General Practice in Conway, AR

Active since October 01, 2012
810 LOCUST ST, CONWAY, AR 72034(501) 327-4589 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Nicholas Clark D.d.s., Pa NPPES

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

JOHN NICHOLAS CLARK D.D.S., PA (NPI 1992056998) is a healthcare organization registered as a general practice in Conway, Arkansas and active in the NPI registry since October 2012. The organization lists John Nicholas Clark, President, as its authorized official.

NPPES Registry Identity

NPI1992056998
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN NICHOLAS CLARK D.D.S., PA
Location Address810 LOCUST STConway, AR 72034-5331
Mailing Address810 Locust StConway, AR 72034-5331 · (501) 327-4589
Phone(501) 327-4589
Organization SubpartNo
Authorized OfficialJohn Nicholas ClarkPresident · (479) 466-3834
Enumeration DateOctober 1, 2012
✔ NPI 1992056998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3810
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.
810 LOCUST ST, Conway, AR 72034
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Other Identifiers 1

Medicaid187121608AR

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JOHN GARY TUMLISON DDS
Dentist (General Practice)
810 LOCUST ST
CONWAY, AR 72034
Faulkner County (501) 327-4589
DR. JOHN NICHOLAS CLARK D.D.S.
Dentist
810 LOCUST ST
CONWAY, AR 72034
Faulkner County (479) 466-3834

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 John Nicholas Clark D.D.S., PA's NPI number?

The NPI number for John Nicholas Clark D.D.S., PA is 1992056998. It was assigned to this organization in the NPPES registry on October 1, 2012.

Where is John Nicholas Clark D.D.S., PA located?

John Nicholas Clark D.D.S., PA is located at 810 Locust St, Conway, AR 72034. The listed phone number is (501) 327-4589.

What is John Nicholas Clark D.D.S., PA'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 John Nicholas Clark D.D.S., PA was last updated on October 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.