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

Tina Marie Clark

Individual provider Dental Assistant · NPI 1790460814

Tina Marie Clark is a Dental Assistant in Portsmouth, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

1539 Jackson St
Portsmouth, OH 45662-4480
Phone: (740) 981-6276
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 51.015003 (OH)

Record details

NPI number1790460814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 16, 2023
Certification dateJune 8, 2023