Individual provider · Type 1 NPI

Tanner Ireland Clark, DDS

General Practice Dentistry · Kansas City, MO

NPI number 1699515122 Active

Practice location

319 NE Vivion Rd
Kansas City, MO 64118-4510

Call (816) 459-0000 Map

Mailing address

5906 W 57th St
Mission, KS 66202-1949

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2024019621 (MO)

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 1699515122

Tanner Ireland Clark, DDS's National Provider Identifier is 1699515122, issued on May 31, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kansas City, MO. The record was last updated on May 31, 2024.