DR. ADAM TANNER CLARK DDS NPI 1366698490

NPI Information

DR. Adam Tanner Clark, DDS is an oral and maxillofacial surgery dentist in Phoenix, AZ. 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. DR. Adam Tanner Clark, DDS NPI is 1366698490. 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:

706 E BELL RD
SUITE 106
PHOENIX, AZ
ZIP 85022-640
Phone: (602) 996-2600
Fax: (602) 314-6497

The enumeration date for this NPI number is 8/8/2008 and was last updated on 6/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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