Clark Dental A Professional Dental Corporation
NPI 1508136748ActiveOrganization· Dentist, General Practice· El Dorado Hills, CA
Dentist, General Practice in El Dorado Hills, California, registered in NPPES in January 2012. The authorized official on file is Reuben J. Clark, DDS, Ceo.
Overview
| NPI | 1508136748 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2012 |
| Last updated in NPPES | Jan 5, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 57075 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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