Organization Active NPI

Richard Clark DMD, LLC

Doing business as Mighty Bites Pediatric Dentistry

  • Pediatric Dentistry
  • Newtown Square, PA
National Provider Identifier
1417743873
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RICHARD CLARK DMD, LLC
Doing business as
Mighty Bites Pediatric Dentistry
Practice address
222 S Newtown Street Rd
Newtown Square, PA 19073-4000
Phone
(610) 801-1502
Fax
(610) 648-2470
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dr. Richard Joseph Clark, DMDNPI 1760820088
Title
Owner
Phone
(610) 801-1502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

222 S Newtown Street Rd
Newtown Square, PA 19073-4000

Mailing address

217 S Ithan Ave
Bryn Mawr, PA 19010-1044

Other names 1

  • Mighty Bites Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

222 S Newtown Street Rd
Newtown Square, PA 19073
Phone (610) 801-1502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1417743873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S ITHAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S NEWTOWN STREET RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734000",
            "telephone_number": "610-801-1502",
            "fax_number": "610-648-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD CLARK DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-801-1502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mighty Bites Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.