DR. MIKE L. CLARK FAMILY DENTISTRY
NPI 1760655005
Clinic/Center - Dental in Yakima, WA

Q: What is Dr. Mike L. Clark Family Dentistry's NPI number?

The NPI number for Dr. Mike L. Clark Family Dentistry is 1760655005. It was assigned to this organization in the NPPES registry on April 8, 2008.

Q: What is Dr. Mike L. Clark Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since April 08, 2008

1012 S 40TH AVE, YAKIMA, WA 98908(509) 575-0419(509) 966-6595 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mike L. Clark Family Dentistry NPPES

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

DR. MIKE L. CLARK FAMILY DENTISTRY (NPI 1760655005) is a healthcare organization registered as a dental in Yakima, Washington and active in the NPI registry since April 2008. The organization lists Betsy M Ward, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760655005

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDR. MIKE L. CLARK FAMILY DENTISTRY

Location Address1012 S 40TH AVEYakima, WA 98908-3804

Mailing Address1012 S 40th AveYakima, WA 98908-3804 · (509) 575-0419 · Fax (509) 966-6595

Phone(509) 575-0419

Fax(509) 966-6595

Organization SubpartNo

Authorized OfficialBetsy M WardOffice Manager · (509) 575-0419

Enumeration DateApril 8, 2008

✔ NPI 1760655005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in WA · DE00010004

1012 S 40TH AVE, Yakima, WA 98908

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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.

MIKE L CLARK DDS

Dentist (General Practice)

1012 S 40TH AVE
YAKIMA, WA 98908

Yakima County (509) 966-9253

JONATHAN C SHIREY DDS

Dentist (General Practice)

1012 S 40TH AVE
YAKIMA, WA 98908

Yakima County (509) 966-9253

DR. DEREK TEW DDS

Dentist

1012 S 40TH AVE
YAKIMA, WA 98908

Yakima County (509) 575-0419

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 Dr. Mike L. Clark Family Dentistry's NPI number?

The NPI number for Dr. Mike L. Clark Family Dentistry is 1760655005. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Dr. Mike L. Clark Family Dentistry located?

Dr. Mike L. Clark Family Dentistry is located at 1012 S 40th Ave, Yakima, WA 98908. The listed phone number is (509) 575-0419.

What is Dr. Mike L. Clark Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dr. Mike L. Clark Family Dentistry was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.