Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Dental PC

Organization General Practice Dentistry · NPI 1902321045

Clark Dental PC is a General Practice Dentistry in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10597 S Beach Comber Way
South Jordan, UT 84009-6132
Phone: (208) 317-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9860439-9921 (UT)

Record details

NPI number1902321045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Clark — President · (208) 317-8555
NPI enumeratedAugust 10, 2017
Last updated in NPPESJuly 21, 2022
Mailing address10597 S Beach Comber Way, South Jordan, UT 84009-6132

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