Joel R. Clark, D.D.S.

Pediatric Dentistry · Mesa, AZ

Individual Active NPI

NPI number 1790759439

Practice location

1925 S Sossaman Rd
211
Mesa, AZ 85209-4275
Phone
(480) 503-3764
Fax
(480) 380-0336

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NPI record

NPI
1790759439
Entity type
Individual (Type 1)
Enumeration date
February 16, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 5179 AZ

About Dr. Clark

Joel R. Clark, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1925 S Sossaman Rd, 211, Mesa, AZ 85209-4275. The NPI number 1790759439 was assigned on February 16, 2006 and the record was last updated on July 13, 2026.

Dr. Clark lists a license in the registry: #5179 (AZ) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joel R. Clark, D.D.S.?

The NPI number is 1790759439.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (480) 503-3764.

Where is Dr. Clark located?

1925 S Sossaman Rd, 211, Mesa, AZ 85209-4275.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 1223P0221X – Pediatric 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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