Active NPIIndividual provider

Dennis P Clark, DMD

Dentist, Oral and Maxillofacial Surgery in Tigard, Oregon

NPI Number1386868370
Practice location
9430 SW Coral St, Suite 200, Tigard, OR 97223-6691
Fax
—
Last updated
December 15, 2014

Dennis P Clark is a Dentist, Oral and Maxillofacial Surgery based in Tigard, OR. Dennis P Clark practices in Tigard, OR and has the professional credentials of DMD. The NPI Number for Dennis P Clark is 1386868370 and holds a License No. D7829 (OR). The current practice location address for Dennis P Clark is 9430 SW Coral St, Suite 200, Tigard, OR 97223-6691 and can be reached out via phone at 503-245-1100.

Provider Profile Details

NPI Number
1386868370
Provider Name
Dennis P Clark
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
9430 SW Coral St, Suite 200, Tigard, OR 97223-6691
Phone Number
503-245-1100
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2007
Last Update Date
December 15, 2014
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
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

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, DMD?

The NPI number of Dennis P Clark, DMD is 1386868370. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dennis P Clark, DMD?

Dennis P Clark, DMD 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, DMD 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).

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 1386868370 directly on the NPPES registry website.

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