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

DR. JAYSON CLARK, D.D.S.

Active Sole Proprietor

DR. JAYSON CLARK, D.D.S. is a Dentist healthcare provider located in BOISE, Idaho. NPI 1659667459 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOISE, ID

Registration Details

NPI Number
1659667459
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2011 (15.119825995968 yrs)
Last Updated
Jun 21, 2011
License
D-4363 (ID)
Sole Proprietor
Yes

Practice Information

Address
4274 N EAGLE ROAD
BOISE, ID, 83713
Browse ID providers · Browse ZIP 83713
Phone
2089388228
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BOISE, ID

Name Credential NPI
DR. A RILEY CUTLER DDS 1457354466
THOMAS R CURTIS DDS 1831199447
BRIAN BIRD DMD 1316931819
DR. RIKI RYAN LAMBERT DDS 1164412706
DR. TIMOTHY A HANSEN DDS 1215911920
MR. TAYLOR COLEMAN CLARK DDS 1780635037
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.