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CLARK FAMILY DENTISTRY PC
NPI 1649545138
Dentist in Redmond, OR

Active since March 15, 2012
2727 SW 17TH PL, REDMOND, OR 97756(541) 548-3896(541) 548-1859 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark Family Dentistry Pc NPPES

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

CLARK FAMILY DENTISTRY PC (NPI 1649545138) is a healthcare organization registered as a dentist in Redmond, Oregon and active in the NPI registry since March 2012. The organization lists Edward Lee Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1649545138
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCLARK FAMILY DENTISTRY PC
Location Address2727 SW 17TH PLRedmond, OR 97756-1297
Mailing Address2727 Sw 17th PlRedmond, OR 97756-1297 · (541) 548-3896 · Fax (541) 548-1859
Phone(541) 548-3896
Fax(541) 548-1859
Organization SubpartNo
Authorized OfficialEdward Lee ClarkOwner · (541) 548-3896
Enumeration DateMarch 15, 2012
✔ NPI 1649545138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D6918
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.
2727 SW 17TH PL, Redmond, OR 97756
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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 2

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

CALDERA DENTAL GROUP
Clinic/Center (Dental)
2727 SW 17TH PL
REDMOND, OR 97756
Deschutes County (360) 921-4735
DR. EDWARD LEE CLARK DMD
Dentist (General Practice)
2727 SW 17TH PL
REDMOND, OR 97756
Deschutes County (541) 548-3896

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 Family Dentistry PC's NPI number?

The NPI number for Clark Family Dentistry PC is 1649545138. It was assigned to this organization in the NPPES registry on March 15, 2012.

Where is Clark Family Dentistry PC located?

Clark Family Dentistry PC is located at 2727 SW 17th Pl, Redmond, OR 97756. The listed phone number is (541) 548-3896.

What is Clark Family Dentistry PC'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 Clark Family Dentistry PC was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.