Clark Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006114 Issued in WA

Legal business name

CLARK DENTAL GROUP

Practice address

3402 S 38TH St
Tacoma, WA 98409-4638

Phone

(253) 472-4292

Fax

(253) 474-7708

NPI assigned

Jan 21, 2014

Organization subpart

Yes

Parent organization

DAVIS CLARK, DDSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Clark, DDSNPI 1447333539

Title

Dentist/Owner

Phone

(253) 474-4292

Specialties & licenses 2

Addresses

Other names 1

• David Clark, DDS Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Clark, D.D.S.

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1447333539
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1205259694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 S 38TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094638",
            "telephone_number": "253-472-4292",
            "fax_number": "253-474-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 S 38TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094638",
            "telephone_number": "253-472-4292",
            "fax_number": "253-474-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS CLARK, DDS",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-474-4292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006114",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Clark, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashyr James-Ann Claire
• Aaron B Clancy, PAC
• Colleen Clancy, PHARMD
• Grady Clapp, PHARMD.
• Michael Jeremy Delos Santos Clarion, MD
• Brita Ann Clark-Snustad
• Christina E Clark, M.D.
• David J Clark, D.D.S.
• Emily Clark
• Gary W. Clark, MD

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.