Dr Paul Derald Clark, DDS, MSD - Dentist in Mckinney, TX

Dr Paul Derald Clark, DDS, MSD is a Dentist - Endodontics based in Mckinney, Texas. Dr Paul Derald Clark is licensed to practice in Texas (license number 29523) and his current practice location is 5913 Virginia Pkwy Ste 400, Mckinney, Texas. He can be reached at his office (for appointments etc.) via phone at (972) 547-0202.

NPI number for Dr Paul Derald Clark is 1043426943 and his current mailing address is 5913 Virginia Pkwy Ste 400, Mckinney, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043426943.

Contact Information

Dr Paul Derald Clark, DDS, MSD
5913 Virginia Pkwy Ste 400,
Mckinney, TX 75071-5627
(972) 547-0202
(972) 547-0212

Map and Direction




Healthcare Provider's Profile

Full NameDr Paul Derald Clark
GenderMale
SpecialityDentist - Endodontics
Location5913 Virginia Pkwy Ste 400, Mckinney, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043426943
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 01/15/2021

Medical Identifiers

Medical identifiers for Dr Paul Derald Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043426943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics D7207 (Arizona)Secondary
1223E0200XDentist - Endodontics 29523 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Derald Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Paul Derald Clark, DDS, MSD
5913 Virginia Pkwy Ste 400,
Mckinney, TX 75071-5627

Ph: (972) 547-0202
Dr Paul Derald Clark, DDS, MSD
5913 Virginia Pkwy Ste 400,
Mckinney, TX 75071-5627

Ph: (972) 547-0202

Reviews and Comments


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