Dr. Glen Thomas Clark
DDS | Oral and Maxillofacial Pathologist
925 W 34th St, Room #151, Los Angeles
California, 90089-0641
213-740-7405 Maps & DirectionsDr. Glen Thomas Clark is a Los Angeles, California based Oral and Maxillofacial Pathologist who is specialized in
Oral and Maxillofacial Pathology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Glen Thomas Clark is
24282 for Dentistry in California. His current practice location is
925 W 34th St, Room #151, Los Angeles. Patients can reach him at
213-740-7405.
Dr. Glen Thomas Clark is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Profile:
Dr. Glen Thomas Clark 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: | Dr. Glen Thomas Clark |
| Specialization: | Oral and Maxillofacial Pathologist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 925 W 34th St, Room #151, Los Angeles,
California, 90089-0641 |
| Phone: | 213-740-7405 |
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.
| NPI Number: | 1740339233 |
| NPI Enumeration Date: | 10 Jan, 2007 |
| NPI Last Update On: | 05 Dec, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glen Thomas Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 24282 | Dentistry | California | Primary | |
| 24282 | Oral and Maxillofacial Pathology | California | Secondary | |
| 24282 | Oral and Maxillofacial Surgery | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Glen Thomas Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P00182356 | Other | California | RAILROAD MEDICARE |
| G100701 | Other | California | DENTICAL |
| ZZZ34010A | Other | California | BLUE CROSS BLUE SHIELD |
| U0100701 | Other | California | DENTICAL |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 925 W 34th St, Room #151
Los Angeles, California |
| Zip: | 90089-0641 |
| Phone Number: | 213-740-7405 |
Patients can reach Dr. Glen Thomas Clark at
925 W 34th St, Room #151, Los Angeles, California or can
call to book an appointment on 213-740-7405.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.