Individual provider · Type 1 NPI

Edward Lee Clark, DMD

General Practice Dentistry · Redmond, OR

NPI number 1528074523 Active

Practice location

2727 SW 17th Pl
Redmond, OR 97756-1297

Call (541) 548-3896 Map

Fax (541) 548-1859

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD6918 (OR)

General Practice Dentistry: 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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About NPI 1528074523

Edward Lee Clark, DMD's National Provider Identifier is 1528074523, issued on Jul 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Redmond, OR. The record was last updated on Jul 8, 2007.