Doctor profile · Federal record
Dr. Grace Clark, DDS
General Practice Dentistry · Fort Wayne, IN
- NPI 1407360910
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4716 Illinois RD Ste 101
Fort Wayne, IN 468045123
(260) 432-7970 - Mailing address
-
5120 Brookstone Way
Indianapolis, IN 462685417
Credentials & registration
- NPI registered
- November 2017 — 9 yrs on file
- Profile last updated
- January 12, 2018
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Indiana #12012818A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407360910. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$215
Transactions
8
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| A-dec, Inc. | 1 | $59.47 | |
| KULZER, LLC | 1 | $55.50 | |
| PATTERSON COMPANIES, INC. | 2 | $46.17 | |
| BioHorizons Implant Systems Inc. | 2 | $32.83 | |
| Align Technology, Inc. | 2 | $21.03 |
By nature of payment
Frequently asked questions
What is Dr. Grace Clark's medical specialty?
Dr. Grace Clark practices General Practice Dentistry in Fort Wayne, IN.
Where does Dr. Grace Clark practice?
Dr. Grace Clark practices at 4716 Illinois RD Ste 101, Fort Wayne, IN 468045123. Office phone: 2604327970.
What is Dr. Grace Clark's NPI?
Dr. Grace Clark's National Provider Identifier (NPI) is 1407360910, issued by NPPES.