Individual provider · Type 1 NPI
Clarence Spencer Tang, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Poway, CA
Practice location
13422 Pomerado Rd Ste 201
Poway, CA 92064-3548
Mailing address
10229 Prairie Springs Rd
San Diego, CA 92127-3421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 109682 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019.030300 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Poway
- Harrison D. Fortney, DDSOral and Maxillofacial Surgery (Dentist) Poway, CA NPI 1013094036
- Robert Thomas Gramins, DDSOral and Maxillofacial Surgery (Dentist) Poway, CA NPI 1285711291
- Albert W. Lin, DDSOral and Maxillofacial Surgery (Dentist) Poway, CA NPI 1427135417
- Holly D. Hatt, DMD, MDOral and Maxillofacial Surgery (Dentist) Poway, CA NPI 1912087164
- S Steven Podstreleny, DDSOral and Maxillofacial Surgery (Dentist) Poway, CA NPI 1922188150
About NPI 1790987972
Clarence Spencer Tang, DDS, MD's National Provider Identifier is 1790987972, issued on Jun 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Poway, CA. The record was last updated on Nov 30, 2023.