Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER L. CLARK, DDS, MSD
ActiveDR. JENNIFER L. CLARK, DDS, MSD is a Periodontology healthcare provider located in CHICO, California. NPI 1205189719 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CHICO, CA
Registration Details
- NPI Number
- 1205189719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2012 (13.766200503527 yrs)
- Last Updated
- Dec 8, 2021
- Licenses
-
DD4420 (NM)59915 (CA)DEN.00202055 (CO)
Practice Information
- Address
-
1279 E 1ST AVE STE DCHICO, CA, 959261542Browse CA providers · Browse ZIP 95926
- Phone
- 5308092379
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Periodontology
Other Periodontology Providers in CHICO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DERRICK B CASTRO | DDS | 1639159858 |
| BEATRICE CRIVEANU | DDS, MSD | 1639420912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.