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

Dr. Tylor Ray Clark, DDS

Individual provider Dentist · NPI 1518898394

Dr. Tylor Ray Clark, DDS is a Dentist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
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

4274 N Eagle Rd
Boise, ID 83713-0726
Phone: (208) 938-8228
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5381516 (ID)

Record details

NPI number1518898394
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address6039 W Mikonos St, Meridian, ID 83646-8710

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