DENNIS CLARK, DMD

Oral and Maxillofacial Surgery (Dentist) · TIGARD, OR

Individual Active Opted out of Medicare NPI 1386868370

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112XD7829OR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2015-04-06 through 2027-04-06.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.