Active NPIOrganization

Dennis P. Clark, D.m.d., P.c.

Dentist, Oral and Maxillofacial Surgery in Tigard, Oregon

NPI Number1235249160
Practice location
9430 SW Coral St, Suite 200, Tigard, OR 97223-6691
Fax
503-473-8300
Last updated
April 1, 2015

Dennis P. Clark, D.m.d., P.c. is a healthcare organization based in Tigard, OR. Dennis P. Clark, D.m.d., P.c. practices in Tigard, OR. The NPI Number for Dennis P. Clark, D.m.d., P.c. is 1235249160 and holds a License No. D7829 (OR). The current practice location address for Dennis P. Clark, D.m.d., P.c. is 9430 SW Coral St, Suite 200, Tigard, OR 97223-6691 and can be reached out via phone at 503-245-1100 and via fax at 503-473-8300.

Provider Profile Details

NPI Number
1235249160
Provider Name
Dennis P. Clark, D.m.d., P.c.
Provider Entity Type
Organization
Address
9430 SW Coral St, Suite 200, Tigard, OR 97223-6691
Phone Number
503-245-1100
Fax Number
503-473-8300
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Dennis P Clark, DMD · President · 503-245-1100
Provider Enumeration Date
August 30, 2006
Last Update Date
April 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
9430 SW Coral St
Suite 200
Tigard, OR 97223-6691
City
Tigard
State
Oregon
Zip
97223-6691
Phone Number
503-245-1100
Fax Number
503-473-8300
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
9430 SW Coral St
Suite 200
Tigard, OR 97223-6691
City
Tigard
State
OR
Zip
97223-6691
Phone Number
503-245-1100
Fax Number
503-473-8300

License Information

License Number
D7829
License State
OR
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dennis P. Clark, D.m.d., P.c.?

The NPI number of Dennis P. Clark, D.m.d., P.c. is 1235249160. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dennis P. Clark, D.m.d., P.c.?

Dennis P. Clark, D.m.d., P.c. is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in OR under license number D7829.

Where does Dennis P. Clark, D.m.d., P.c. practice?

The practice location is 9430 SW Coral St, Suite 200, Tigard, OR 97223-6691. The office can be reached at 503-245-1100 (phone) or 503-473-8300 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235249160 directly on the NPPES registry website.

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