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

Dr. Glen Thomas Clark, DDS

Individual provider Oral and Maxillofacial Pathology Dentistry · NPI 1740339233

Dr. Glen Thomas Clark, DDS is an Oral and Maxillofacial Pathology Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

925 W 34th St Rm #151
Los Angeles, CA 90089-0641
Phone: (213) 740-7405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 24282 (CA)
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X · Licence 24282 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 24282 (CA)

Record details

NPI number1740339233
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESDecember 5, 2011

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