JOHN W. CLARK PA
NPI 1326306085
Dentist in Bangor, ME

NPI Status: Active since May 01, 2012

Contact Information

753 STILLWATER AVE
BANGOR, ME
ZIP 04401
Phone: (207) 990-5887
Fax: (207) 307-7002

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  • Organization
  • Dentist

About JOHN W. CLARK PA

This page provides the complete NPI Profile along with additional information for John W. Clark Pa, a provider established in Bangor, Maine operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1326306085 assigned on May 2012. The practitioner's primary taxonomy code is 122300000X with license number 3365 (ME). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John Warren Clark D.d.s. (Owner)

NPI
1326306085
Provider Name
JOHN W. CLARK PA
Entity Type
Organization
Location Address
753 STILLWATER AVE BANGOR, ME 04401
Location Phone
(207) 990-5887
Location Fax
(207) 307-7002
Mailing Address
753 STILLWATER AVE BANGOR, ME 04401
Mailing Phone
(207) 990-5887
Mailing Fax
(207) 307-7002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2012
Last Update Date
12-13-2021
Code Navigator

A dentist like John W. Clark Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
3365
License State
ME
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN WARREN CLARK D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(207) 564-8197

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326306085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23466012016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 6 + 0 + 1 + 2 + 0 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1326306085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275904435JOHN W. CLARK PA
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)753 STILLWATER AVE
BANGOR, ME 04401
(207) 990-5887
1487390225MS. KRISTINA ANNE SPAULDING LD
Individual
Denturist753 STILLWATER AVE
BANGOR, ME 04401
(207) 573-4242
1063765683CUSTOM HEARING LLC
Organization
Hearing Aid Equipment753 STILLWATER AVE SUITE 2
BANGOR, ME 04401
(207) 942-2500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326306085, enumerated in the NPI registry as an "organization" on May 01, 2012

The provider is located at 753 Stillwater Ave Bangor, Me 04401 and the phone number is (207) 990-5887

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on May 01, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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