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

Mike L Clark, DDS

Individual provider General Practice Dentistry · NPI 1093790396

Mike L Clark, DDS is a General Practice Dentistry in Yakima, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
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

1012 S 40th Ave
Yakima, WA 98908-3804
Phone: (509) 966-9253
Fax: (509) 966-6595
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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 00010004 (WA)

Record details

NPI number1093790396
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1012 S 40th Ave, Yakima, WA 98908-3804

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