Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY R CLARK, DDS, MS
Active Sole ProprietorDR. JERRY R CLARK, DDS, MS is a Orthodontics healthcare provider located in GREENSBORO, North Carolina. NPI 1619203551 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · GREENSBORO, NC
Registration Details
- NPI Number
- 1619203551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2009 (16.752603004268 yrs)
- Last Updated
- Oct 28, 2009
- License
-
3338 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1115 W FRIENDLY AVEGREENSBORO, NC, 274011844Browse NC providers · Browse ZIP 27401
- Phone
- 3362732528
- Fax
- 3362738038
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in GREENSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| BRIAN WILLIAM BARTLETT | DDS, MS | 1174509509 |
| DR. MARK HAMILTON KALEY | D.D.S, M.S. | 1932124807 |
| DR. JAMES DUDLEY KALEY | D.D.S., M.S. | 1558380881 |
| DR. MARK JAY KATZ | DDS, MSD | 1013008218 |
| DR. ALISON J. MCMILLIAN | D.D.S.,M.S.,P.A. | 1619031440 |
| DR. ALAN WATSON IRVIN | D.D.S. | 1124163878 |
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.