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Dr. Michael David Clark , DDS

Dentist - General Practice β€’ Sandusky, OH

Active NPI 1083568166 Individual Practitioner Male Practitioner
Practice location in NPPES

420 Superior St
Sandusky, OH 448701849

Call 4196265623 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

420 Superior St

Sandusky, OH 448701849

Telephone 4196265623
Organization at the Same NPPES Address or Phone
Erie County Office Of Auditor Facility NPI 1821167198

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Clark has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Clark as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sandusky and Ohio

20 active clinicians are listed under Dentist - General Practice with a practice address in Sandusky, OH (3,998 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sandusky

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES OH 30.028485

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20260623000642

Enrollment State Jurisdiction

OH

PECOS Control ID

6204309180

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
NPI 1114379567

Doctor of Dental Medicine

NPI 1558562314

Doctor of Medicine (M.D.)

Roberto Gonzales , NP-C

Nurse Practitioner - Family

NPI 1225419500

Nurse Practitioner (Certified)

Jennifer Hacker , FNP-C

Nurse Practitioner - Family

NPI 1467949230

Family Nurse Practitioner (Certified)

Dr. Yixue Han , DDS

Dentist - General Practice

NPI 1013588144

Doctor of Dental Surgery

Dr. Kunal Kanani , DMD

Dentist - General Practice

NPI 1013261080

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location May 22, 2026

Registered at 420 SUPERIOR ST, SANDUSKY, OH 448701849 (Tel: 4196265623)

πŸ“
Updated Business Mailing Address May 22, 2026

Registered at 420 SUPERIOR ST, SANDUSKY, OH 448701849 (Tel: 4196265623)

πŸ‘€
Provider Name / Credentials Updated May 22, 2026

Recorded as MICHAEL CLARK, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2026

Dentist (license number reported to NPPES: OH 30.028485)

βœ…
NPI Profile Active February 24, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 24, 2026

Registered at 1121 W MICHIGAN ST, INDIANAPOLIS, IN 462025211 (Tel: 7726963555)

πŸ“
Business Mailing Address (Initial Record) February 24, 2026

Registered at 5107 COMMONWEALTH AVE, WESTERN SPRINGS, IL 605581716

πŸ‘€
Provider Name / Credentials (Initial Record) February 24, 2026

Recorded as MICHAEL CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 24, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083568166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2026
Last Update: July 15, 2026
Sole Proprietor: Yes

Other Dentist - General Practices in Sandusky

All Dentist - General Practices in Sandusky

Mailing Address

420 Superior St

Sandusky, OH 448701849

Phone: 4196265623

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.