Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIKE L CLARK DDS
NPI 1093790396
Dentist - General Practice in Yakima, WA

Q: What is Mike Clark's NPI number?

The NPI number for Mike Clark is 1093790396. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Mike Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mike Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 08, 2005

1012 S 40TH AVE, YAKIMA, WA 98908(509) 966-9253(509) 966-6595 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mike L Clark Dds NPPES

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

MIKE L CLARK DDS (NPI 1093790396) is an individual general practice provider in Yakima, Washington, licensed in Washington (00010004) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1093790396

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMIKE L CLARKCredential: DDS

Location Address1012 S 40TH AVEYakima, WA 98908-3804

Mailing Address1012 S 40th AveYakima, WA 98908-3804 · (509) 966-9253 · Fax (509) 966-6595

Phone(509) 966-9253

Fax(509) 966-6595

Sole ProprietorNo

Enumeration DateDecember 8, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1093790396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · 00010004

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1012 S 40TH AVE, Yakima, WA 98908

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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.

DR. MIKE L. CLARK FAMILY DENTISTRY

Clinic/Center (Dental)

1012 S 40TH AVE
YAKIMA, WA 98908

Yakima County (509) 575-0419

JONATHAN C SHIREY DDS

Dentist (General Practice)

1012 S 40TH AVE
YAKIMA, WA 98908

Yakima County (509) 966-9253

DR. DEREK TEW DDS

Dentist

1012 S 40TH AVE
YAKIMA, WA 98908

Yakima County (509) 575-0419

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 Mike Clark's NPI number?

The NPI number for Mike Clark is 1093790396. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Mike Clark located?

Mike Clark practices at 1012 S 40th Ave, Yakima, WA 98908. The listed phone number is (509) 966-9253.

What is Mike Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mike Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.