P Praxis·MD
● Active Type 1 · Individual

DR. Benjamin Todd Clark, D.D.S.

Dentist·Jbsa Lackland, TX· NPI 1598743627 · Enumerated 2006 · 20 years on NPI
Clark is 1 of 7 dentist providers in Jbsa Lackland and 1 of 1850 in Texas.
NPI age
20 years
Enumerated 2006-01-09
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1850 active dentist providers in Texas.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102928629
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102928629

Additional practice locations

1 secondary location on file with NPPES.

Location 2
52 Medical Group, Unit 3690
Apo, AE 09126
📞 3144523184

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    TX license #24280 taxonomy 1223X0400X
  • Dentist
    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.
    TN license #8412 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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