DR. Tanner Mark Clark, D.M.D. is a general practice dentist in Philadelphia, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Tanner Mark Clark, D.M.D. NPI is 1679841811. 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:
2203 FITZWATER ST UNIT 1
PHILADELPHIA, PA
ZIP 19146-132
Phone: (208) 317-8555
The enumeration date for this NPI number is 12/2/2011 and was last updated on 4/25/2016.