Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clark Bart Dickson, MD

Individual provider Otolaryngology Physician · NPI 1770560427

Dr. Clark Bart Dickson, MD is an Otolaryngology in Southfield, Michigan. Graduated from University of Cincinnati College of Medicine in 1982, 44 years ago. Practices with Ear Nose and Throat Consultants PC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
44
Trained at
University of Cincinnati College of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

29201 Telegraph Rd Ste 500
Southfield, MI 48034-1331
Phone: (248) 569-5985
Fax: (248) 569-3704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence CD046491 (MI)

Record details

NPI number1770560427
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESMarch 13, 2012
Mailing address29201 Telegraph Rd, Suite 500, Southfield, MI 48034-1331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Ear Nose And Throat Consultants Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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