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DENNIS P CLARK DMD
NPI 1386868370
Dentist - Oral and Maxillofacial Surgery in Tigard, OR

Active since April 12, 2007Opted out of Medicare · through Apr 6, 2027
9430 SW CORAL ST, SUITE 200, TIGARD, OR 97223(503) 245-1100 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dennis P Clark Dmd NPPES

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

DENNIS P CLARK DMD (NPI 1386868370) is an individual oral and maxillofacial surgery provider in Tigard, Oregon, licensed in Oregon (D7829) and active in the NPI registry since April 2007. He has opted out of Medicare through April 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386868370
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDENNIS P CLARKCredential: DMD
Location Address9430 SW CORAL ST, SUITE 200Tigard, OR 97223-6691
Mailing Address9430 Sw Coral St, Suite 200Tigard, OR 97223-6691 · (503) 245-1100
Phone(503) 245-1100
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateDecember 15, 2014
✔ NPI 1386868370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OR · D7829
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9430 SW CORAL ST, Tigard, OR 97223
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dennis P Clark Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 6, 2015 through April 6, 2027.

Opt-Out Effective DateApril 6, 2015
Opt-Out In Effect ThroughApril 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. MICHELE L. HARRIS LMT
Specialist
9430 SW CORAL ST, STE. 203
TIGARD, OR 97223
Washington County (503) 504-2554
DENNIS P. CLARK, D.M.D., P.C.
Dentist (Oral and Maxillofacial Surgery)
9430 SW CORAL ST, SUITE 200
TIGARD, OR 97223
Washington County (503) 245-1100
K'LYNN SIMPSON
Massage Therapist
9430 SW CORAL ST
TIGARD, OR 97223
Washington County (503) 644-1418

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 Dennis Clark's NPI number?

The NPI number for Dennis Clark is 1386868370. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Dennis Clark located?

Dennis Clark practices at 9430 SW Coral St Suite 200, Tigard, OR 97223. The listed phone number is (503) 245-1100.

What is Dennis Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Dennis Clark enrolled in Medicare?

No. Dennis Clark has opted out of Medicare through April 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dennis Clark was last updated on December 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.