OrganizationActive
Clark Orthodontics, Inc.
NPI 1891083002 · Orthodontics and Dentofacial Orthopedics Dentistry · North Liberty, IA
Provider details
- NPI number
- 1891083002
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Tanner Clark, President
- License
- 08218 (IA)
Practice location
650 W. Cherry St.
Suite 5
North Liberty, IA 52317
Phone: (319) 626-3161
Mailing address
650 W. Cherry St.
North Liberty, IA 52317
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2012-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.