Elizabeth Clark, D.D.S.
NPI 1407038128 · General Practice Dentistry · Old Lyme, CT
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Clark, D.D.S. is a General Practice Dentistry provider in Old Lyme, CT (NPI 1407038128).
Provider details
- NPI number
- 1407038128
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 009894 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-12-04
- Last updated
- 2010-03-09
Frequently asked questions
- What is Elizabeth Clark's NPI number?
- Elizabeth Clark's National Provider Identifier (NPI) is 1407038128, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Clark's specialty?
- Elizabeth Clark is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Elizabeth Clark located?
- Elizabeth Clark's practice location on file with NPPES is 19 Halls Rd Ste 218, Old Lyme, CT 06371-1457.
- What is Elizabeth Clark's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Clark is (860) 434-7378.
- Does Elizabeth Clark accept Medicare?
- Elizabeth Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Clark's NPI active?
- Yes — Elizabeth Clark's NPI (1407038128) is active in the NPPES registry as of the last update on 2010-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.