Timothy Clark, DDS
NPI 1194800946 · General Practice Dentistry · Becker, MN
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Clark, DDS is a General Practice Dentistry provider in Becker, MN (NPI 1194800946).
Provider details
- NPI number
- 1194800946
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 10140 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Timothy Clark's NPI number?
- Timothy Clark's National Provider Identifier (NPI) is 1194800946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Clark's specialty?
- Timothy Clark is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Timothy Clark located?
- Timothy Clark's practice location on file with NPPES is 12392 Pleasant Ave., Becker, MN 55308-0098.
- What is Timothy Clark's phone number?
- The practice phone number listed in the NPPES registry for Timothy Clark is (763) 261-5350.
- Does Timothy Clark accept Medicare?
- Timothy Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Clark's NPI active?
- Yes — Timothy Clark's NPI (1194800946) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.