Dr. Albert Clark DDS, PC
NPI 1972772853ActiveOrganization· Dentist· Provo, UT
Dentist in Provo, Utah, registered in NPPES in February 2008. The authorized official on file is Albert Baxter Clark, DDS, President.
Overview
| NPI | 1972772853 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2008 |
| Last updated in NPPES | Feb 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 139191-9922 | UT |
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 |
|---|
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