David Lesley Clark, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17816 Issued in TX

Practice address

6300 Stonewood Dr
# 402
Plano, TX 75024-5280

Phone

(972) 612-3500

Fax

(972) 612-8156

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174640452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "# 402",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "972-612-3500",
            "fax_number": "972-612-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "# 402",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "972-612-3500",
            "fax_number": "972-612-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DAVID",
        "middle_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Clair, PT
• Claudia A Clancy, FNP-C
• Anna E Clarey, PA-C
• Clark Anesthesia PA
• Ashlynn Sha Clark
• Destiny Clark
• Emma Clark
• Garrett Layne Clark, APRN, FNP-C
• Jeremy Dean Clark, DO
• Judy Patricia Clark, M.ED LPC

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.