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Dean W Clark, DDS

General Practice · Palo Alto

NPI 1609939453

Medicare standing
3 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Delinquent
  • 1 Medical Board action on record

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Clark’s office at (650) 326-5861 to ask if they take your plan before you enroll.

California Medical Board record

Licence A31763 · Delinquent

Licence status: Delinquent · since 1977 · expires 2023-05-31 · University of Ceylon.

License renewal fee has not been paid. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
1993-07-16Action in another state or by a federal agencyDisciplineEffective 5/18/95, connecticut board suspended for two years from practicing medicine. the suspension was stayed and dr. stroebel was placed on 2 years probation. probation completed effective 6/10/97. · Connecticut medical examing board dept. of public health

Professional record

NPI
1609939453
Licence
CA 31763California A31763: Delinquent · expires 2023-05-31
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 1223G0001X (1223G0001X)
Mailing address
2875 Middlefield Rd, Suite 4, Palo Alto, CA, 94306
NPI first listed
2006-12-19
NPI last updated
2007-07-08

This is when the NPI record was last certified, not a medical board exam.