Individual provider · Type 1 NPI
Clark Mackelprang, DDS, MS
Periodontics · Tucson, AZ
NPI number
1235486507
Active
Practice location
2330 N Rosemont Blvd Unit A
Tucson, AZ 85712-2159
Fax (520) 327-0965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | D009229 (AZ) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1235486507
Clark Mackelprang, DDS, MS's National Provider Identifier is 1235486507, issued on Aug 6, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tucson, AZ. The record was last updated on Sep 9, 2019.