DR. MICHAEL V. CLARK DDS
NPI 1386778520
Dentist - Pediatric Dentistry in Cheyenne, WY

Active since March 16, 2007
6900 YELLOWTAIL RD, SUITE 100, CHEYENNE, WY 82009(307) 635-9251(307) 635-9218 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael V. Clark Dds NPPES

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

DR. MICHAEL V. CLARK DDS (NPI 1386778520) is an individual pediatric dentistry provider in Cheyenne, Wyoming, licensed in Wyoming (1108) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1386778520
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MICHAEL V. CLARKCredential: DDS
Location Address6900 YELLOWTAIL RD, SUITE 100Cheyenne, WY 82009-6102
Mailing Address6900 Yellowtail Rd, Suite 100Cheyenne, WY 82009-6102 · (307) 635-9251 · Fax (307) 635-9218
Fax(307) 635-9218
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1386778520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in WY · 1108
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6900 YELLOWTAIL RD, Cheyenne, WY 82009

Other Identifiers 1

Medicaid119846700WY

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.

Dentist
6900 YELLOWTAIL RD
CHEYENNE, WY 82009
Dentist
6900 YELLOWTAIL RD, SUITE 100
CHEYENNE, WY 82009
Dentist (Orthodontics and Dentofacial Orthopedics)
6900 YELLOWTAIL RD
CHEYENNE, WY 82009

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1386778520. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Michael Clark located?

Michael Clark practices at 6900 Yellowtail Rd Suite 100, Cheyenne, WY 82009. The listed phone number is (307) 635-9251.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.