# PAT CLARK DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316958473
- **Authorized official:** DR. PAT CLARK DDS (PRESIDENT)
- **Authorized official phone:** (901) 309-3045

## Contact information

- **Practice address:** 6750 POPLAR AVE, SUITE 700, MEMPHIS, TN 38138-7438
- **Practice address phone:** (901) 309-3045
- **Practice address fax:** (901) 309-3065
- **Mailing address:** 6750 POPLAR AVE, SUITE 700, MEMPHIS, TN 38138-7438
- **Mailing address phone:** (901) 309-3045
- **Mailing address fax:** (901) 309-3065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS0000007499 | TN | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 08/22/2020