Clark D Andelin is a Philadelphia, Pennsylvania based Dentist with
11 years of experience in
Dentist. He completed his graduation from
Other in 2014 He is also affiliated with hospitals like
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Clark D Andelin is
DS038552 for Oral and Maxillofacial Surgery in Pennsylvania. His current practice location is
3400 Spruce St, Philadelphia. Patients can reach him at
215-662-6176.
Clark D Andelin is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Clark D Andelin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Clark D Andelin |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD, MD |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3400 Spruce St, Philadelphia,
Pennsylvania, 19104-4206 |
| Phone: | 215-662-6176 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8921371790 |
| Enrollment ID: | I20170830003106 |
| NPI Number: | 1043538705 |
| NPI Enumeration Date: | 05 May, 2010 |
| NPI Last Update On: | 20 Jan, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clark D Andelin are as mentioned below.
| License Number | Specialization | State | Status | |
| DS038552 | Oral and Maxillofacial Surgery | Pennsylvania | Primary | |
| MT207339 | Oral & Maxillofacial Surgery | Pennsylvania | Secondary | |
| 016.0125577 | Oral and Maxillofacial Surgery | Vermont | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (470003) | Burlington, VT | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Clark D Andelin is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Northeast Washington County Community Health, Inc. (7416960265) | 16 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3400 Spruce St,
Philadelphia, Pennsylvania |
| Zip: | 19104-4206 |
| Phone Number: | 215-662-6176 |
Patients can reach Clark D Andelin at
3400 Spruce St, Philadelphia, Pennsylvania or can
call to book an appointment on 215-662-6176.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.