Clark Warren Redd, D.D.S.

General Practice Dentistry · Mountlake Terrace, WA

Individual Active NPI

NPI number 1093729618

Practice location

6808 220TH St SW
Suite 301
Mountlake Terrace, WA 98043-2187
Phone
(425) 670-3995
Fax
(425) 670-8065

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NPI record

NPI
1093729618
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6677 WA

About Dr. Redd

Clark Warren Redd, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6808 220TH St SW, Suite 301, Mountlake Terrace, WA 98043-2187. The NPI number 1093729618 was assigned on July 28, 2006 and the record was last updated on July 8, 2007.

Dr. Redd lists a license in the registry: #6677 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clark Warren Redd, D.D.S.?

The NPI number is 1093729618.

What is the phone number of Dr. Redd?

The phone number listed for the practice location is (425) 670-3995.

Where is Dr. Redd located?

6808 220TH St SW, Suite 301, Mountlake Terrace, WA 98043-2187.

What is the taxonomy code for Dr. Redd?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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