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

Dr. Alfonso Clark, DDS

Individual provider Dentist · NPI 1972665826

Dr. Alfonso Clark, DDS is a Dentist in Phila, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
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

1344 66th Ave
Phila, PA 19126
Phone: (215) 224-7300
Fax: (215) 924-7450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS021889L (PA)

Record details

NPI number1972665826
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1344 66th Ave, Philadelphia, PA 19126

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