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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFERSON CLARK, DDS

Active

DR. JEFFERSON CLARK, DDS is a Pediatric Dentistry healthcare provider located in ROSEVILLE, California. NPI 1609318443 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · ROSEVILLE, CA

Registration Details

NPI Number
1609318443
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2016 (9.7158316375567 yrs)
Last Updated
Nov 10, 2016
License
63225 (CA)

Practice Information

Address
2350 PROFESSIONAL DR
SUITE 100
ROSEVILLE, CA, 956617747
Browse CA providers · Browse ZIP 95661
Phone
9167830122
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in ROSEVILLE, CA

Name Credential NPI
DR. MICHAEL D FORDE DDS, MS 1447239421
DR. PAUL P. BINON D.D.S., M.S.D. 1194870162
JOHN ANTHONY SOBIERALSKI D.D.S., M.S. 1891079521
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.