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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ADAM TANNER CLARK, DDS

Active

DR. ADAM TANNER CLARK, DDS is a Oral & Maxillofacial Surgery healthcare provider located in PHOENIX, Arizona. NPI 1366698490 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PHOENIX, AZ

Registration Details

NPI Number
1366698490
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2008 (18.043139773811 yrs)
Last Updated
Jun 4, 2010
Licenses
7396 (AZ)
55257 (CA)

Practice Information

Address
706 E BELL RD
SUITE 106
PHOENIX, AZ, 850226640
Browse AZ providers · Browse ZIP 85022
Phone
6029962600
Fax
6023146497
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in PHOENIX, AZ

Name Credential NPI
DR. JALEH TINA KEYHANI D.D.S. 1043214448
DR. MATTHEW ADAM DEFELICE D.D.S. 1013914696
DR. JACK A. BUHROW D.D.S,, M.S. 1609858356
DR. BRIAN REX SCHNEIDER D.D.S. M.D. 1396724308
DR. DAVID MARC HARMATZ D.M.D 1053382374
CHARLES BRIAN SPRIGGS D.D.S 1346209103
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.