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CLARK DENTAL P.C.
NPI 1902321045
Dentist - General Practice in South Jordan, UT

Active since August 10, 2017
10597 S BEACH COMBER WAY, SOUTH JORDAN, UT 84009(208) 317-8555 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

About Clark Dental P.c. NPPES

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

CLARK DENTAL P.C. (NPI 1902321045) is a healthcare organization registered as a general practice in South Jordan, Utah and active in the NPI registry since August 2017. The organization lists Tanner Mark Clark, President, as its authorized official.

NPPES Registry Identity

NPI1902321045
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLARK DENTAL P.C.
Location Address10597 S BEACH COMBER WAYSouth Jordan, UT 84009-6132
Mailing Address10597 S Beach Comber WaySouth Jordan, UT 84009-6132 · (208) 317-8555
Phone(208) 317-8555
Organization SubpartNo
Authorized OfficialTanner Mark ClarkPresident · (208) 317-8555
Enumeration DateAugust 10, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1902321045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 9860439-9921
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.
10597 S BEACH COMBER WAY, South Jordan, UT 84009
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Other Identifiers 1

Medicaid3003062UT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

DENTICARE, LLC
Clinic/Center (Dental)
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009
Salt Lake County (801) 447-5022
SENIOR SMILES UTAH LLC
Dentist
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009
Salt Lake County (801) 415-6847
SMART SMILES UTAH
Dentist
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009
Salt Lake County (801) 649-4222
PRO SMILES UTAH LLC
Dentist
10597 S BEACH COMBER WAY
SOUTH JORDAN, UT 84009
Salt Lake County (801) 413-2814

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 P.C.'s NPI number?

The NPI number for Clark Dental P.C. is 1902321045. It was assigned to this organization in the NPPES registry on August 10, 2017.

Where is Clark Dental P.C. located?

Clark Dental P.C. is located at 10597 S Beach Comber Way, South Jordan, UT 84009. The listed phone number is (208) 317-8555.

What is Clark Dental P.C.'s specialty?

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

What insurance does Clark Dental P.C. accept?

Health plans from UnitedHealthcare list Clark Dental P.C. 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 Clark Dental P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.