Individual provider · Type 1 NPI

Taylor Coleman Clark, DDS

Dentist · Boise, ID

NPI number 1780635037 Active

Practice location

6019 N Eagle Rd
Boise, ID 83713

Fax (208) 938-2442

Mailing address

4400 N Tempest Way
Meridian, ID 83642

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD3624 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1780635037

Taylor Coleman Clark, DDS's National Provider Identifier is 1780635037, issued on May 12, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Boise, ID. The record was last updated on Jul 13, 2026.