Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFRY STEPHEN CLARK, D.D.S.
ActiveDR. JEFFRY STEPHEN CLARK, D.D.S. is a Dentist healthcare provider located in RESTON, Virginia. NPI 1790821429 is currently active in the NPPES registry. Verify at CMS.
Dentist · RESTON, VA
Registration Details
- NPI Number
- 1790821429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.496642471916 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0401008224 (VA)
Practice Information
- Address
-
1950 ROLAND CLARKE PL420RESTON, VA, 201911414Browse VA providers · Browse ZIP 20191
- Phone
- 7033912600
- Fax
- 7033912097
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| DR. MONICA A NESHAT | DDS | 1235167222 |
| DR. JOHN ALPHONSE MERCANTINI | DMD | 1700895901 |
| DR. KIEU M LE | DDS | 1487665451 |
| DR. RICHARD JACK MORGAN SR. | D.D.S. | 1487749669 |
| DR. MICHAEL EDWARD LITTLE SR. | DDS | 1588747307 |
| MARK RICHARD PEREZ | DDS | 1922181742 |
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.