Dorrance D. Clark, DDS, MSD
NPI 1104907617ActiveIndividual· Dentist, Periodontics· Warren, MI
Dentist, Periodontics (DDS, MSD) in Warren, Michigan, licensed in MI, with an NPI issued in October 2006. Part D covered 92 prescriptions written in 2024, 100% of them generic. Colgate Oral Pharmaceuticals, Inc. reported $17.48 in payments in 2025, mostly education.
Overview
| NPI | 1104907617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MSD |
| Sole proprietor | No |
| NPI issued | Oct 18, 2006 |
| Last updated in NPPES | Dec 18, 2025 |
| Certified by provider | Dec 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 2901018485 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (NC) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 92 30-day fills |
|---|---|
| Patients | 62 |
| Total drug cost | $504.00 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$17.48 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $17.48 | 1 |
What the 2025 payments were for
- Education$17.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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