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

Dr. Tanner Ireland Clark, DDS

Individual provider General Practice Dentistry · NPI 1699515122

Dr. Tanner Ireland Clark, DDS is a General Practice Dentistry in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
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

319 NE Vivion Rd
Kansas City, MO 64118-4510
Phone: (816) 459-0000
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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 2024019621 (MO)

Record details

NPI number1699515122
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 31, 2024
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

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