DR. MIKE L. CLARK FAMILY DENTISTRY – Dental Clinic/Center, NPI 1760655005

DR. MIKE L. CLARK FAMILY DENTISTRY is a healthcare provider. based in Yakima, Washington. specializing in Dental Clinic/Center. The organization holds a License No. DE00010004 (WA). The NPI Number for DR. MIKE L. CLARK FAMILY DENTISTRY is 1760655005

Main info

Organization
Name
DR. MIKE L. CLARK FAMILY DENTISTRY
NPI
1760655005
Phone
(509) 575-0419
Address
1012 S 40TH AVE
Authorized Official
MRS. BETSY M WARD OFFICE MANAGER
Enumeration Date
8 April 2008
Last Update Date
8 April 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MIKE L. CLARK FAMILY DENTISTRY

  • 1012, 40th Avenue, Yakima, Yakima County, Washington, 98908, United States

    YAKIMA, WA 989083804

    Phone: (509) 575-0419

    Fax: (509) 966-6595

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98908)

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Reviews

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Frequently asked questions

How is DR. MIKE L. CLARK FAMILY DENTISTRY identified in CMS data?
CMS-hosted NPPES data lists DR. MIKE L. CLARK FAMILY DENTISTRY with NPI 1760655005.
Is DR. MIKE L. CLARK FAMILY DENTISTRY listed as active for patients and plans?
The listing shows DR. MIKE L. CLARK FAMILY DENTISTRY as active in the NPI system.
What healthcare role does DR. MIKE L. CLARK FAMILY DENTISTRY hold?
Scheduling teams often label DR. MIKE L. CLARK FAMILY DENTISTRY under Dental Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MIKE L. CLARK FAMILY DENTISTRY?
DR. MIKE L. CLARK FAMILY DENTISTRY's geographic hint is Yakima, Washington in our summary view.
Why does DR. MIKE L. CLARK FAMILY DENTISTRY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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