IndividualActive
Clark Mackelprang, DDS, MS
NPI 1235486507 · Periodontics · Tucson, AZ
Provider details
- NPI number
- 1235486507
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- D009229 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
2330 N Rosemont Blvd Unit a
Tucson, AZ 85712-2159
Phone: (520) 327-0263
Fax: (520) 327-0965
Approximate (ZIP-level) locationGet directions
Mailing address
2330 N Rosemont Blvd Unit a
Tucson, AZ 85712-2159
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2019-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.