IndividualActive
Dennis Clark, DMD
NPI 1386868370 · Oral and Maxillofacial Surgery (Dentist) · Tigard, OR
Provider details
- NPI number
- 1386868370
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D7829 (OR)
Specialties & taxonomies
Dental Providers
Practice location
9430 Sw Coral St
Suite 200
Tigard, OR 97223-6691
Phone: (503) 245-1100
Approximate (ZIP-level) locationGet directions
Mailing address
9430 Sw Coral St
Tigard, OR 97223-6691
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2014-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.