Clark & Associate's Dentistry
NPI 1275293532ActiveOrganization· Dentist, Pediatric Dentistry· Indianapolis, IN
Dentist, Pediatric Dentistry in Indianapolis, Indiana, registered in NPPES in December 2021. The authorized official on file is Holly Clark, DDS MSD, President.
Overview
| NPI | 1275293532 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2021 |
| Last updated in NPPES | Dec 28, 2021 |
| Certified by provider | Dec 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, Pediatric Dentistry providers in Indianapolis
- 1447730692
- 1700223732
- 1447616545
- 1912161019
- 1891193843
- 1316984669
- 1851311765
- 1205224433
- 1881769602
- 1528741329
- 1063885820
- 1801927983