Individual provider · Type 1 NPI

Tanner Mark Clark, DMD

General Practice Dentistry · Philadelphia, PA

NPI number 1679841811 Active

Practice location

2203 Fitzwater St Unit 1
Philadelphia, PA 19146-1132

Call (208) 317-8555 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS038910 (PA)

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 1679841811

Tanner Mark Clark, DMD's National Provider Identifier is 1679841811, issued on Dec 2, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 25, 2016.