Organization · Type 2 NPI
Dennis P. Clark, D.m.d., P.c.
Oral and Maxillofacial Surgery (Dentist) · Tigard, OR
NPI number
1235249160
Active
Practice location
9430 SW Coral St, Suite 200
Tigard, OR 97223-6691
Fax (503) 473-8300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D7829 (OR) |
Oral and Maxillofacial Surgery (Dentist): 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.
3 other providers at this address
About NPI 1235249160
Dennis P. Clark, D.m.d., P.c.'s National Provider Identifier is 1235249160, issued on Aug 30, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tigard, OR. The record was last updated on Apr 1, 2015.