OrganizationActive
Dr. Mike L. Clark Family Dentistry
NPI 1760655005 · Dental Clinic/Center · Yakima, WA
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(87/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.