OrganizationActive
Dennis P. Clark, D.M.D., P.C.
NPI 1235249160 · Oral and Maxillofacial Surgery (Dentist) · Tigard, OR
Provider details
- NPI number
- 1235249160
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Dennis Clark, President
- License
- D7829 (OR)
Practice location
9430 Sw Coral St
Suite 200
Tigard, OR 97223-6691
Phone: (503) 245-1100
Fax: (503) 473-8300
Mailing address
9430 Sw Coral St
Tigard, OR 97223-6691
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2015-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.