Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAN DEAN CLARK, DMD
ActiveMR. JAN DEAN CLARK, DMD is a Podiatrist healthcare provider located in BOZEMAN, Montana. NPI 1497803803 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · BOZEMAN, MT
Registration Details
- NPI Number
- 1497803803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2007 (19.408463255216 yrs)
- Last Updated
- Oct 1, 2024
- License
-
79 (MT)
Practice Information
- Address
-
300 NO WILLSON602FBOZEMAN, MT, 59715Browse MT providers · Browse ZIP 59715
- Phone
- 4065865318
- Fax
- 4065861635
- Primary Specialty
-
Podiatrist
213E00000X
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.