Michael David Clark, DDS
Dentist, General Practice in Sandusky, OH. Individual provider (NPI-1).
NPI number1083568166
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1083568166
- Entity type
- Individual (NPI-1)
- Name
- Michael David Clark
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2026
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30.028485 | OH | Yes |
Practice location
420 Superior StSandusky, OH 44870-1849
Phone 419-626-5623
Mailing address
420 Superior StSandusky, OH 44870-1849
Phone 419-626-5623
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Sandusky, OH
- Sabrina CaseNPI 1871387571
- Samer S Daoud, DDSNPI 1134195373
- Elite Dental Art Haddadeen DDS LLCNPI 1528870557
- Daniel Vicente Escovar, D.D.S.NPI 1073993598
- Family Dentistry Of SanduskyNPI 1780592436
- Maria Elena Stephani Galang Galvez, DMDNPI 1225260789
- Yixue Han, DDSNPI 1013588144
- John Heimke, DMDNPI 1619128790
- Robert Scott Jarus, DMDNPI 1821528415
- Justin L Crowley DDS, LLCNPI 1992363204
All 30 General Practice Dentistry providers in Sandusky · All 1,490 providers in Sandusky
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.