Clark D Andelin, DMD, MD is an oral and maxillofacial surgery dentist in Philadelphia, PA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Clark D Andelin, DMD, MD NPI is 1043538705. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3400 SPRUCE ST
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-6176
The NPI 1043538705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/5/2010 and was last updated on 1/20/2017.