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Dr. Tyler Lee Clark, DDS
Oral and Maxillofacial Surgery (Dentist) in Eugene, Oregon
NPI 1578542361

Tyler Lee Clark is a Oral and Maxillofacial Surgery (Dentist) based in Eugene, OR and is specialized in Oral and Maxillofacial Surgery. Tyler Lee Clark practices in Eugene, OR and has the professional credentials of DDS. The NPI Number for Tyler Lee Clark is 1578542361 and holds a License No. D10177 (Oregon).

The current practice location address for Tyler Lee Clark is 330 S Garden Way, Eugene, OR and can be reached out via phone at 541-686-9750 and via fax at 541-485-5034.

Location: 330 S Garden Way, Eugene, OR, 97401-8176
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Provider Profile Details
NPI Number
1578542361
Provider Name
Tyler Lee Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
330 S Garden Way, Eugene, OR, 97401-8176
Phone Number
541-686-9750
Fax Number
541-485-5034
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500684192 05 OR
institution
Provider Business Practice Location Address Details
Address
330 S Garden Way
City
State
Zip
97401-8176
Phone Number
541-686-9750
Fax Number
541-485-5034
person
Provider Business Mailing Address Details
Address
330 S Garden Way
City
State
Zip
97401-8176
Phone Number
541-686-9750
Fax Number
541-485-5034
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D10177 (Oregon)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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