Individual provider · Type 1 NPI

Philip Richard Clark, DDS

General Practice Dentistry · Everett, WA

NPI number 1629040183 Active

Practice location

5929 Evergreen Way, Suite 100
Everett, WA 98203-6031

Mailing address

4503 Seahurst Ave
Everett, WA 98203-1717

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7062 (WA)

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 1629040183

Philip Richard Clark, DDS's National Provider Identifier is 1629040183, issued on Feb 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Everett, WA. The record was last updated on Jul 13, 2026.