Individual provider · Type 1 NPI

Joel R. Clark, DDS

Pediatric Dentistry · Mesa, AZ

NPI number 1790759439 Active

Practice location

1925 S Sossaman Rd, 211
Mesa, AZ 85209-4275

Call (480) 503-3764 Map

Fax (480) 380-0336

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X5179 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1790759439

Joel R. Clark, DDS's National Provider Identifier is 1790759439, issued on Feb 16, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mesa, AZ. The record was last updated on Jul 13, 2026.