OrganizationActive
Dr. Mike L. Clark Family Dentistry
NPI 1760655005 · Dental Clinic/Center · Yakima, WA
Dr. Mike L. Clark Family Dentistry is a Dental Clinic/Center organization in Yakima, WA (NPI 1760655005).
Provider details
- NPI number
- 1760655005
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Betsy Ward, Office Manager(509) 575-0419
- License
- DE00010004 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1012 S 40th Ave
Yakima, WA 98908-3804
Phone: (509) 575-0419
Fax: (509) 966-6595
Street-level locationGet directions
Mailing address
1012 S 40th Ave
Yakima, WA 98908-3804
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2008-04-08
Frequently asked questions
- What is Dr. Mike L. Clark Family Dentistry's NPI number?
- Dr. Mike L. Clark Family Dentistry's National Provider Identifier (NPI) is 1760655005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Mike L. Clark Family Dentistry?
- Dr. Mike L. Clark Family Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dr. Mike L. Clark Family Dentistry located?
- Dr. Mike L. Clark Family Dentistry's practice location on file with NPPES is 1012 S 40th Ave, Yakima, WA 98908-3804.
- What is Dr. Mike L. Clark Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Dr. Mike L. Clark Family Dentistry is (509) 575-0419.
- Who is the authorized official for Dr. Mike L. Clark Family Dentistry?
- The authorized official listed on Dr. Mike L. Clark Family Dentistry's NPPES record is Betsy Ward, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Mike L. Clark Family Dentistry's NPI active?
- Yes — Dr. Mike L. Clark Family Dentistry's NPI (1760655005) is active in the NPPES registry as of the last update on 2008-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.