DR. JEFFERSON CLARK DDS NPI 1609318443

NPI Information

  • NPI: 1609318443
  • Provider Name: DR. JEFFERSON CLARK, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: 2350 PROFESSIONAL DR
    SUITE 100
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 783-0122

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NPI Details

DR. Jefferson Clark, DDS is a prosthodontics dentist in Roseville, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Jefferson Clark, DDS NPI is 1609318443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2350 PROFESSIONAL DR
SUITE 100
ROSEVILLE, CA
ZIP 95661-747
Phone: (916) 783-0122

The enumeration date for this NPI number is 11/10/2016 and was last updated on 11/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics63225CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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