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

Clemmensen, Adams, & Tack PSC

Organization Dermatology Physician · NPI 1780852368

Clemmensen, Adams, & Tack PSC is a Dermatology Physician in Carson City, Nevada. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 S Carson St
Carson City, NV 89701-5232
Phone: (775) 883-7811
Fax: (775) 883-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1780852368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Tack — President · (775) 883-7811
Other names Carson Dermatology
NPI enumeratedFebruary 15, 2008
Last updated in NPPESJanuary 22, 2015
Mailing address1100 S Carson St, Carson City, NV 89701-5232

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