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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1366698490

Dr. Adam Tanner Clark, DDS is an Oral and Maxillofacial Surgery (Dentist) in Phoenix, Arizona. Licensed in Arizona and California. Registered with an NPI since 2008.

Licensed in
AZ, CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

706 E Bell Rd Ste 106
Phoenix, AZ 85022-6640
Phone: (602) 996-2600
Fax: (602) 314-6497
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Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7396 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 55257 (CA)

Record details

NPI number1366698490
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 8, 2008
Last updated in NPPESJune 4, 2010
Mailing address3131 Pamela St, Prescott, AZ 86305-7153

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