DR. PAUL M. CLARK JR. DDS
NPI 1386758936
Dentist - Oral and Maxillofacial Pathology in Shreveport, LA
NPI Status: Active since August 19, 2006
Contact Information
2120 BERT KOUNS INDUSTRIAL LOOP
SUITE D
SHREVEPORT, LA
ZIP 71118
Phone: (318) 687-9800
Fax: (318) 687-4752
- Individual
- Male
- Dentist
- Oral and Maxillofacial Pathology
About PAUL CLARK
This page provides the complete NPI Profile along with additional information for Paul Clark, a provider established in Shreveport, Louisiana with a medical specialization in Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1386758936 assigned on August 2006. The practitioner's primary taxonomy code is 1223P0106X with license number 2432 (LA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1386758936
- Provider Name
- DR. PAUL M. CLARK JR. DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2120 BERT KOUNS INDUSTRIAL LOOP SUITE D SHREVEPORT, LA 71118
- Location Phone
- (318) 687-9800
- Location Fax
- (318) 687-4752
- Mailing Address
- 2120 BERT KOUNS INDUSTRIAL LOOP SUITE D SHREVEPORT, LA 71118
- Mailing Phone
- (318) 687-9800
- Mailing Fax
- (318) 687-4752
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-19-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Paul Clark 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.
Location Map
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 Oral and Maxillofacial Pathology
- Taxonomy Code
- 1223P0106X
- Type
- Dental Providers
- License No.
- 2432
- License State
- LA
- Taxonomy Description
- The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58046 | MEDICARE ID-TYPE UNSPECIFIED (04) | LA | |
| T19750 | MEDICARE UPIN (02) | LA |
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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. | |||||||||
| 1 | 3 | 8 | 6 | 7 | 5 | 8 | 9 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 14 | 5 | 16 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 4 + 5 + 1 + 6 + 9 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1386758936 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174600225 | DR. EDWARD GARY CHUMLEY DDS Individual | Dentist (General Practice) | 2120 BERT KOUNS INDUSTRIAL LOOP STE. E SHREVEPORT, LA 71118 (318) 688-3350 |
| 1417015439 | DR. LEONARD WEATHER JR. M.D. Individual | Obstetrics & Gynecology (Gynecology) | 2120 BERT KOUNS INDUSTRIAL LOOP SUITE C SHREVEPORT, LA 71118 (318) 671-5320 |
| 1538350046 | THOMAS E. KINSTREY A MEDICAL CORPORATION Organization | Clinic/Center (Primary Care) | 2120 BERT KOUNS INDUSTRIAL LOOP SUITE M SHREVEPORT, LA 71118 (318) 688-0319 |
| 1952606279 | KIRIT S PATEL MD APMC Organization | Internal Medicine | 2120 BERT KOUNS INDUSTRIAL LOOP SUITE F SHREVEPORT, LA 71118 (318) 686-1668 |
| 1508155649 | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION Organization | Dentist (General Practice) | 2120 BERT KOUNS INDUSTRIAL LOOP SUITE E SHREVEPORT, LA 71118 (318) 688-3350 |
| 1659340552 | DR. THOMAS EDWARD KINSTREY MD Individual | Family Medicine | 2120 BERT KOUNS INDUSTRIAL LOOP SUITE M SHREVEPORT, LA 71118 (318) 688-0319 |
| 1134532062 | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2120 BERT KOUNS INDUSTRIAL LOOP SUITE A SHREVEPORT, LA 71118 (318) 688-3350 |
| 1518644004 | SHELBY DOLER Individual | Nurse Practitioner (Pediatrics) | 2120 BERT KOUNS INDUSTRIAL LOOP SHREVEPORT, LA 71118 (318) 688-3350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386758936, enumerated in the NPI registry as an "individual" on August 19, 2006
The provider is located at 2120 Bert Kouns Industrial Loop Suite D Shreveport, La 71118 and the phone number is (318) 687-9800
The provider's speciality is Dentist with taxonomy code 1223P0106X with a focus in Oral and Maxillofacial Pathology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 19, 2006. 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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