DR. TANNER MARK CLARK D.M.D.
NPI 1679841811
Dentist - General Practice in Philadelphia, PA

Q: What is Tanner Clark's NPI number?

The NPI number for Tanner Clark is 1679841811. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Q: What is Tanner 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 Tanner Clark was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 02, 2011

2203 FITZWATER ST UNIT 1, PHILADELPHIA, PA 19146(208) 317-8555 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Tanner Mark Clark D.m.d. NPPES

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

DR. TANNER MARK CLARK D.M.D. (NPI 1679841811) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS038910) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1679841811

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TANNER MARK CLARKCredential: D.M.D.

Location Address2203 FITZWATER ST UNIT 1Philadelphia, PA 19146-1132

Mailing Address2203 Fitzwater St Unit 1Philadelphia, PA 19146-1132 · (208) 317-8555

Phone(208) 317-8555

Sole ProprietorYes

Enumeration DateDecember 2, 2011

Last NPPES UpdateApril 25, 2016

✔ NPI 1679841811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS038910

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.

2203 FITZWATER ST UNIT 1, Philadelphia, PA 19146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Tanner Clark's NPI number?

The NPI number for Tanner Clark is 1679841811. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Tanner Clark located?

Tanner Clark practices at 2203 Fitzwater St Unit 1, Philadelphia, PA 19146. The listed phone number is (208) 317-8555.

What is Tanner Clark's specialty?

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

What insurance does Tanner Clark accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 11 other insurers list Tanner Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanner Clark was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.