Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY M CLARK, DDS
Active Sole ProprietorDR. JEFFREY M CLARK, DDS is a Oral & Maxillofacial Surgery healthcare provider located in BOWLING GREEN, Kentucky. NPI 1649261850 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BOWLING GREEN, KY
Registration Details
- NPI Number
- 1649261850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2005 (20.734264234714 yrs)
- Last Updated
- Sep 21, 2021
- Licenses
-
8960 (KY)8960 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1802 ROCKINGHAM AVEBOWLING GREEN, KY, 421043348Browse KY providers · Browse ZIP 42104
- Phone
- 2707830064
- Fax
- 2709011997
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in BOWLING GREEN, KY
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS M. THOMPSON | D.M.D. | 1225019748 |
| DR. JAMES MICHAEL SUTTON | DMD | 1316916463 |
| DR. CHARLES THOMAS NUCKOLS | D.M.D. | 1245244474 |
| JULIE A GASKILL | DDS | 1790895910 |
| DR. EDYEE MULLINS STURGILL | DMD MD | 1679676191 |
| DR. TONY BRANDON GREER | DMD, MD | 1164527420 |
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.