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DAVID A CLARK DDS PLLC
NPI 1053617308
Dentist in Yakima, WA

Active since February 03, 2011
4209 TIETON DR STE 102, YAKIMA, WA 98908(509) 966-2230(509) 966-8812 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David A Clark Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID A CLARK DDS PLLC (NPI 1053617308) is a healthcare organization registered as a dentist in Yakima, Washington and active in the NPI registry since February 2011. The organization lists David Allen Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1053617308
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDAVID A CLARK DDS PLLC
Location Address4209 TIETON DR STE 102Yakima, WA 98908-3377
Mailing Address4209 Tieton Dr Ste 102Yakima, WA 98908-3377 · (509) 966-2230 · Fax (509) 966-8812
Phone(509) 966-2230
Fax(509) 966-8812
Organization SubpartNo
Authorized OfficialDavid Allen ClarkOwner · (509) 966-2233
Enumeration DateFebruary 3, 2011
✔ NPI 1053617308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · 60023580
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4209 TIETON DR STE 102, Yakima, WA 98908
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Other Identifiers 2

Medicaid1124194972WA
Medicaid1962668202WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENATTE VIRGINIA CLARK ARNP
Dermatology
4209 TIETON DR STE 102
YAKIMA, WA 98908
Yakima County (509) 654-9810
DAVID A CLARK DDS PLLC
Dentist (General Practice)
4209 TIETON DR STE 102
YAKIMA, WA 98908
Yakima County (509) 966-2230
JENATTE CLARK DERMATOLOGY PLLC
Dermatology
4209 TIETON DR STE 102
YAKIMA, WA 98908
Yakima County (509) 945-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David A Clark Dds PLLC's NPI number?

The NPI number for David A Clark Dds PLLC is 1053617308. It was assigned to this organization in the NPPES registry on February 3, 2011.

Where is David A Clark Dds PLLC located?

David A Clark Dds PLLC is located at 4209 Tieton Dr Ste 102, Yakima, WA 98908. The listed phone number is (509) 966-2230.

What is David A Clark Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for David A Clark Dds PLLC was last updated on February 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.