Thomas Clark, DMD

General Practice Dentistry · Wilsonville, OR

Individual Active NPI

NPI number 1225341415

Practice location

29292 SW Town Center Loop E
Wilsonville, OR 97070-9491
Phone
(506) 682-0431
Fax
(503) 682-3873

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NPI record

NPI
1225341415
Entity type
Individual (Type 1)
Enumeration date
July 16, 2010
Last updated
December 17, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D9460 OR

About Dr. Clark

Thomas Clark, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 29292 SW Town Center Loop E, Wilsonville, OR 97070-9491. The NPI number 1225341415 was assigned on July 16, 2010 and the record was last updated on December 17, 2013.

Dr. Clark lists a license in the registry: #D9460 (OR) 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 Thomas Clark, DMD?

The NPI number is 1225341415.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (506) 682-0431.

Where is Dr. Clark located?

29292 SW Town Center Loop E, Wilsonville, OR 97070-9491.

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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