Doctor profile · Federal record

Dr. ANDREW CLARK, DMD

Orthodontics and Dentofacial Orthopedic Dentist · Student in an Organized Health Care Education/Training Program · TALLAHASSEE, FL

  • NPI 1992017164
  • 16 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5555 ROANOKE TRAIL
TALLAHASSEE, FL 32312
(850) 385-2822
fax (850) 385-9476

Credentials & registration

NPPES · NUCC
NPI registered
July 2010 — 16 yrs on file
Profile last updated
April 24, 2025
Specialty taxonomy
1223X0400X — NUCC code
State license (1)
Florida #DN 19032

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1992017164. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$174
Transactions
6
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Envista Holdings Corporation 5 $159.70
Philips North America LLC 1 $14.01

By nature of payment

Food and Beverage
$174

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›