DR. PAUL DERALD CLARK (NPI# 1043426943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043426943 |
| Entity Type | Individual |
| Full Name | DR. PAUL DERALD CLARK |
| Credential | D.D.S., M.S.D. |
| Practice Address |
4141 N 32nd St Ste 100 Phoenix AZ 85018-4775 |
| Mailing Address |
1325 Spruance Rd Richmond VA 23225-2841 |
| Practice Telephone | 6026673600 |
| Practice Fax Number | 6026673611 |
| Mailing Telephone | 8046901126 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D7207 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540931 | Paul A Clark | Physical Therapist | 410 Avenue G, Levelland, TX 79336-3719 | 2014-05-15 |
| 1154338945 | Paul K Clark | Chiropractor | 725 E Commercial Ave, Lowell, IN 46356-2303 | 2006-08-02 |
| 1396769154 | Paul Anthony Clark | Dentist | 759 E 200th St, Euclid, OH 44119-2504 | 2006-07-26 |
| 1124594742 | Paul Edward Clark | Social Worker | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2018-10-22 |
| 1619362597 | Paul Ray Clark | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 | 2015-03-30 |
| 1174939102 | Paul Clark | Physical Therapist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2014-07-10 |
| 1619388659 | Paul Richard Clark | Student in an Organized Health Care Education/Training Program | 2500 N State St, Department of Neurosurgery, Jackson, MS 39216-4500 | 2014-05-13 |
| 1083051684 | Paul E Clark | Social Worker | 47 Town St, Norwich, CT 06360-2315 | 2013-05-23 |
| 1306289699 | Paul Allen Clark | Occupational Therapist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2013-04-17 |
| 1174893945 | Paul G Clark | Social Worker | 4400 University Dr, Fairfax, VA 22030-4422 | 2012-01-10 |
| Street Address |
4141 N 32ND ST STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-4775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831294032 | Kevin T Axx | Dentist | 4141 N 32nd St Ste 100, Phoenix, AZ 85018-4775 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005136 | Baseline Dental, PC | Dentist | 2030 W Baseline Rd Ste 176, Phoenix, AZ 85041-6574 | 2015-02-11 |
| 1457767758 | Brandi L. Molina | Dentist | 702 E Bell Rd Ste 111, Phoenix, AZ 85022-6639 | 2014-07-08 |
| 1730496514 | Carl R Wright | Dentist | 15215 S 48th St Ste 136, Phoenix, AZ 85044-9138 | 2010-09-01 |
| 1891982443 | Emad Gus Khalifa | Dentist | 20950 N Tatum Blvd Ste 210, Phoenix, AZ 85050-4268 | 2007-09-27 |
| 1558567743 | Percy B. Twine | Dentist | 2020 W Baseline Rd Ste 172, Phoenix, AZ 85041-6573 | 2007-06-25 |
| 1972713493 | Eugene Salazar | Dentist | 706 E Bell Rd Ste 104, Phoenix, AZ 85022 | 2007-05-23 |
| 1831294032 | Kevin T Axx | Dentist | 4141 N 32nd St Ste 100, Phoenix, AZ 85018-4775 | 2006-09-13 |
| 1700811692 | Jacqueline Savannah Allen | Dentist | 6520 N 7th Ave, Suite 7, Phoenix, AZ 85013-1173 | 2006-07-11 |
| 1659308641 | North Valley Endodontics, P.a. | Dentist | 706 E Bell Road, Suite 106, Phoenix, AZ 85022-6640 | 2006-06-27 |
| 1427004654 | Victor A Palmieri | Dentist | 2737 E Brookwood Ct, Phoenix, AZ 85048-9359 | 2006-05-26 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.