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Dr. Paul Derald Clark

Endodontist

5913 Virginia Pkwy Ste 400
Mckinney , Texas 75071-5627

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Dr. Paul Derald Clark

Endodontist

5913 Virginia Pkwy Ste 400
Mckinney , Texas 75071-5627

(972) 547-0212

Write a Review Save Call

Dr. Paul Derald Clark

Endodontist

5913 Virginia Pkwy Ste 400
Mckinney , Texas 75071-5627

(972) 547-0212 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Endodontist

Languages spoken

  • English

Location

5913 Virginia Pkwy Ste 400 Mckinney , Texas 75071-5627

First Address

  • Dr. Paul Derald Clark
  • 5913 Virginia Pkwy Ste 400
  • Mckinney, TX
  • Zip : 75071-5627
  • Fax : (972) 547-0212
  • Phone : (972) 547-0202

Second Address

  • Dr. Paul Derald Clark
  • 5913 Virginia Pkwy Ste 400
  • Mckinney, TX
  • Zip : 75071-5627
  • Fax : (972) 547-0212
  • Phone : (972) 547-0202

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FAQs


Where did Dr. Paul Derald Clark attend graduate school?

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Where did Dr. Paul Derald Clark do his residency?

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Where did Dr. Paul Derald Clark do his fellowship?

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Is Dr. Paul Derald Clark board certified?

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What type of doctor is Dr. Paul Derald Clark

Endodontist

In what state does Dr. Paul Derald Clark practice in?

Texas

Where is Dr. Paul Derald Clark ’s practice located?

5913 Virginia Pkwy Ste 400 , Mckinney, Texas, 75071-5627

What is Dr. Paul Derald Clark ’s gender?

Male

Is Dr. Paul Derald Clark a sole practitioner?

No

Is Dr. Paul Derald Clark accepting new patients?

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What languages does Dr. Paul Derald Clark speak?

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Does Dr. Paul Derald Clark accept insurance?

Yes, Dr. Paul Derald Clark accepts insurance

Does Dr. Paul Derald Clark offers telemedicine?

Dr. Paul Derald Clark has not indicated if he offers telemedicine

What is Dr. Paul Derald Clark ’s professional license number?

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What is Dr. Paul Derald Clark ’s NPI number?

1043426943

Does Dr. Paul Derald Clark have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223E0200X Endodontist 29523 TX
N 1223E0200X Endodontist D7207 AZ

National Provider Identifier

NPI 1043426943
Provider Name Dr. Paul Derald Clark
First Address Mckinney, TX 75071-5627
Second Address Mckinney, TX 75071-5627
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/05/2007
Last Update Date 15/01/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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