OrganizationActive
Clark Family Dentistry PC
NPI 1649545138 · Dentist · Redmond, OR
Provider details
- NPI number
- 1649545138
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Edward Clark, Owner(541) 548-3896
- License
- D6918 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2727 Sw 17th Pl
Redmond, OR 97756-1297
Phone: (541) 548-3896
Fax: (541) 548-1859
Street-level locationGet directions
Mailing address
2727 Sw 17th Pl
Redmond, OR 97756-1297
Registry dates
- Enumerated
- 2012-03-15
- Last updated
- 2012-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.