Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK D ANDELIN, DMD, MD
ActiveCLARK D ANDELIN, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1043538705 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1043538705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2010 (16.241903452225 yrs)
- Last Updated
- Jan 20, 2017
- Licenses
-
MT207339 (PA)DS038552 (PA)016.0125577 (VT)
Practice Information
- Address
-
3400 SPRUCE STPHILADELPHIA, PA, 191044206Browse PA providers · Browse ZIP 19104
- Phone
- 2156626176
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| HARGROW DEXTER BARBER | DDS | 1003804279 |
| BRIAN M SMITH | DMD MD | 1811985948 |
| DR. GARY HUGH JONES | D.D.S. | 1952372054 |
| MR. MEHRAN HOSSAINIZADEH | DMD | 1699732602 |
| DR. BERNARD NORMAN ROTHMAN | DDS | 1083671192 |
| DR. JUDITH C TUCHMAN | DMD | 1275571218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.