Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANNER JAY CLARK, D.D.S., M.S.
ActiveDR. TANNER JAY CLARK, D.D.S., M.S. is a Orthodontics healthcare provider located in NORTH LIBERTY, Iowa. NPI 1790734796 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · NORTH LIBERTY, IA
Registration Details
- NPI Number
- 1790734796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2006 (20.22665713221 yrs)
- Last Updated
- Jan 26, 2012
- License
-
08880 (IA)
Practice Information
- Address
-
650 W. CHERRY ST.SUITE 5NORTH LIBERTY, IA, 52317Browse IA providers · Browse ZIP 52317
- Phone
- 3196263161
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in NORTH LIBERTY, IA
| Name | Credential | NPI |
|---|---|---|
| DR. SARAH ELIZABETH CLARK | DDS, MS | 1831186097 |
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.