person
Dr. Tanner Mark Clark, DMD
General Practice Dentistry in Philadelphia, Pennsylvania
NPI 1679841811

Tanner Mark Clark is a General Practice Dentistry based in Philadelphia, PA and is specialized in General Practice. Tanner Mark Clark practices in Philadelphia, PA and has the professional credentials of DMD. The NPI Number for Tanner Mark Clark is 1679841811 and holds a License No. DS038910 (Pennsylvania).

The current practice location address for Tanner Mark Clark is 2203 Fitzwater St Unit 1, Philadelphia, PA and can be reached out via phone at 208-317-8555.

Location: 2203 Fitzwater St Unit 1, Philadelphia, PA, 19146-1132
person
Provider Profile Details
NPI Number
1679841811
Provider Name
Tanner Mark Clark
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2203 Fitzwater St Unit 1, Philadelphia, PA, 19146-1132
Phone Number
208-317-8555
Fax Number
Provider Enumeration Date
12/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2203 Fitzwater St Unit 1
City
State
Zip
19146-1132
Phone Number
208-317-8555
Fax Number
person
Provider Business Mailing Address Details
Address
2203 Fitzwater St Unit 1
City
State
Zip
19146-1132
Phone Number
208-317-8555
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DS038910 (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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