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Search › Missouri › General Practice Dentistry

Tanner Clark, DDS

NPI 1699515122 · on the registry since 2024 · sole proprietor

Practice

Address
319 Ne Vivion Rd
Kansas City, MO 64118
Phone
(816) 459-0000
Organisation at this address
Celebrate Pediatrics Llc
Valudental Gladstone Ferguson Dds
Celebraces Gladstone Ferguson Dds Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri