CLARK DENTAL CLARK
NPI 1538572136
Dentist - General Practice in Salt Lake City, UT

Active since June 11, 2014
2180 E 4500 S, SALT LAKE CITY, UT 84117(801) 272-8609 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark Dental Clark NPPES

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

CLARK DENTAL CLARK (NPI 1538572136) is a healthcare organization registered as a general practice in Salt Lake City, Utah and active in the NPI registry since June 2014. The organization lists David Matthew Clark, Dentist, as its authorized official.

NPPES Registry Identity

NPI1538572136
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLARK DENTAL CLARK
Location Address2180 E 4500 SSalt Lake City, UT 84117-4434
Mailing Address2180 E 4500 SSalt Lake City, UT 84117-4434 · (801) 272-8609
Organization SubpartNo
Authorized OfficialDavid Matthew ClarkDentist · (801) 272-8609
Enumeration DateJune 11, 2014
NPI 1538572136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2180 E 4500 S, Salt Lake City, UT 84117

Other Identifiers 1

Medicaid1902193253UT

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 20

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

Community/Behavioral Health
2180 E 4500 S, SUITE 105
HOLLADAY, UT 84117
Massage Therapist
2180 E 4500 S
HOLLADAY, UT 84117
Dentist (General Practice)
2180 E 4500 S, SUITE #250
SALT LAKE CITY, UT 84117
Dentist
2180 E 4500 S
SALT LAKE CITY, UT 84117
Hospice Care, Community Based
2180 E 4500 S, STE 210 F
HOLLADAY, UT 84117
Pediatrics
2180 E 4500 S, #210
SALT LAKE CITY, UT 84117
Community/Behavioral Health
2180 E 4500 S, SUITE 165
HOLLADAY, UT 84117
Physical Medicine & Rehabilitation
2180 E 4500 S, SUITE #185
HOLLADAY, UT 84117

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 Clark Dental Clark's NPI number?

The NPI number for Clark Dental Clark is 1538572136. It was assigned to this organization in the NPPES registry on June 11, 2014.

Where is Clark Dental Clark located?

Clark Dental Clark is located at 2180 E 4500 S, Salt Lake City, UT 84117. The listed phone number is (801) 272-8609.

What is Clark Dental 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 Clark Dental Clark was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.