Mike L. Clark, DDS

General Practice Dentistry · Yakima, WA

Individual Active NPI

NPI number 1093790396

Practice location

1012 S 40TH Ave
Yakima, WA 98908-3804
Phone
(509) 966-9253
Fax
(509) 966-6595

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NPI record

NPI
1093790396
Entity type
Individual (Type 1)
Enumeration date
December 8, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 00010004 WA

About Dr. Clark

Mike L. Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1012 S 40TH Ave, Yakima, WA 98908-3804. The NPI number 1093790396 was assigned on December 8, 2005 and the record was last updated on July 13, 2026.

Dr. Clark lists a license in the registry: #00010004 (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 Mike L. Clark, DDS?

The NPI number is 1093790396.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (509) 966-9253.

Where is Dr. Clark located?

1012 S 40TH Ave, Yakima, WA 98908-3804.

What is the taxonomy code for Dr. Clark?

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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