Clark Dental P.C.
NPI 1902321045ActiveOrganization· Dentist, General Practice· South Jordan, UT
Dentist, General Practice in South Jordan, Utah, registered in NPPES in August 2017. The authorized official on file is Tanner Mark Clark, DMD, President.
Overview
| NPI | 1902321045 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9860439-9921 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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