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DR. PAUL DERALD CLARK D.D.S. M.S.D. NPI 1043426943


NPI Information

NPI: 1043426943
Provider Name: DR. PAUL DERALD CLARK, D.D.S., M.S.D.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
5913 VIRGINIA PKWY STE 400
MCKINNEY, TX
ZIP 75071
Phone: (972) 547-0202
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DR. Paul Derald Clark, D.D.S., M.S.D. is an endodontics dentist in Mckinney, TX. The provider is 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. DR. Paul Derald Clark, D.D.S., M.S.D. NPI is 1043426943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5913 VIRGINIA PKWY STE 400
MCKINNEY, TX
ZIP 75071-627
Phone: (972) 547-0202
Fax: (972) 547-0212

The enumeration date for this NPI number is 5/15/2007 and was last updated on 1/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics29523TEXASYes
21223E0200XDentistEndodonticsD7207ARIZONANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.