DR. GLEN THOMAS CLARK DDS
NPI 1740339233
Dentist in Los Angeles, CA

Q: What is Glen Clark's NPI number?

The NPI number for Glen Clark is 1740339233. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Glen Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Clark was last updated on December 5, 2011. 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.

Active since January 10, 2007

925 W 34TH ST, ROOM #151, LOS ANGELES, CA 90089(213) 740-7405 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Glen Thomas Clark Dds NPPES

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

DR. GLEN THOMAS CLARK DDS (NPI 1740339233) is an individual dentist in Los Angeles, California, licensed in California (24282) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1740339233

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GLEN THOMAS CLARKCredential: DDS

Location Address925 W 34TH ST, ROOM #151Los Angeles, CA 90089-0641

Mailing Address925 W 34th St, Room #151Los Angeles, CA 90089-0641 · (213) 740-7405

Phone(213) 740-7405

Sole ProprietorNo

Enumeration DateJanuary 10, 2007

Last NPPES UpdateDecember 5, 2011

✔ NPI 1740339233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 24282

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.

Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 24282 (CA)

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 24282 (CA)

925 W 34TH ST, Los Angeles, CA 90089

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Other Identifiers 6

Medicare UPINU28629

OtherU0100701CA · Dentical

OtherP00182356CA · Railroad Medicare

Medicare ID-Type UnspecifiedW16530CA · Group Number

OtherG100701CA · Dentical

OtherZZZ34010ACA · Blue Cross Blue Shield

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.

IRENE L CHING DDS

Dentist (Pediatric Dentistry)

925 W 34TH ST
LOS ANGELES, CA 90089

Los Angeles County (415) 425-8202

DR. JASON JACOB SHADPOUR DDS

Dentist (General Practice)

925 W 34TH ST
LOS ANGELES, CA 90089

Los Angeles County (213) 740-2805

DR. CHING HSIU KETTY CHIU D.D.S.

Dentist (Periodontics)

925 W 34TH ST
LOS ANGELES, CA 90089

Los Angeles County (213) 740-1545

DR. THERESIA LAKSMANA DMD, MS

Dentist (Periodontics)

925 W 34TH ST
LOS ANGELES, CA 90089

Los Angeles County (213) 740-2805

DR. CHARLENE RUTH NAPOLITANO DDS

Dentist

925 W 34TH ST
LOS ANGELES, CA 90089

Los Angeles County (949) 274-3298

DR. THOMAS ALAN LEVY D.D.S.,MS

Dentist

925 W 34TH ST
LOS ANGELES, CA 90089

Los Angeles County (213) 740-1080

AVISHAI SADAN DMD

Dentist (Prosthodontics)

925 W 34TH ST, RM#151
LOS ANGELES, CA 90089

Los Angeles County (213) 740-7405

MARCELA HASBUN DDS, M.S

Dentist

925 W 34TH ST
LOS ANGELES, CA 90089

Los Angeles County (213) 740-2805

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 Glen Clark's NPI number?

The NPI number for Glen Clark is 1740339233. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Glen Clark located?

Glen Clark practices at 925 W 34th St Room #151, Los Angeles, CA 90089. The listed phone number is (213) 740-7405.

What is Glen Clark'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 Glen Clark was last updated on December 5, 2011. 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.