- Practice location
- 9430 SW Coral St Ste 200, Tigard, OR 97223-6692
- Phone
- 503-245-1100
- Fax
- 503-473-8300
- Last updated
- July 21, 2022
Clark Oral Surgery And Implant Center is a healthcare organization based in Tigard, OR. Clark Oral Surgery And Implant Center practices in Tigard, OR. The NPI Number for Clark Oral Surgery And Implant Center is 1598285777 and holds a License No. D10177 (OR). The current practice location address for Clark Oral Surgery And Implant Center is 9430 SW Coral St Ste 200, Tigard, OR 97223-6692 and can be reached out via phone at 503-245-1100 and via fax at 503-473-8300.
Provider Profile Details
- NPI Number
- 1598285777
- Provider Name
- Clark Oral Surgery And Implant Center
- Provider Entity Type
- Organization
- Address
- 9430 SW Coral St Ste 200, Tigard, OR 97223-6692
- Phone Number
- 503-245-1100
- Fax Number
- 503-473-8300
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Ms. Esther Mastrandrea · Office Manager · 503-245-1100
- Other Names
- Dr. Tyler L. Clark (Doing Business As)
- Provider Enumeration Date
- June 20, 2017
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9430 SW Coral St Ste 200
Tigard, OR 97223-6692 - City
- Tigard
- State
- Oregon
- Zip
- 97223-6692
- Phone Number
- 503-245-1100
- Fax Number
- 503-473-8300
Provider Business Mailing Address Details
- Address
- 9430 SW Coral St Ste 200
Tigard, OR 97223-6692 - City
- Tigard
- State
- OR
- Zip
- 97223-6692
- Phone Number
- 503-245-1100
- Fax Number
- 503-473-8300
License Information
- License Number
- D10177
- License State
- OR
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Dental providers near Tigard, OR
View all Clinic/Center, Dental providers in Tigard →Frequently Asked Questions
What is the NPI number of Clark Oral Surgery And Implant Center?
The NPI number of Clark Oral Surgery And Implant Center is 1598285777. It was assigned on June 20, 2017 and is currently active in the NPPES registry.
What is the specialty of Clark Oral Surgery And Implant Center?
Clark Oral Surgery And Implant Center is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in OR under license number D10177.
Where does Clark Oral Surgery And Implant Center practice?
The practice location is 9430 SW Coral St Ste 200, Tigard, OR 97223-6692. 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 1598285777 directly on the NPPES registry website.