DR. JEFFREY MICHAEL CLARK DMD NPI 1891989158

NPI Information

DR. Jeffrey Michael Clark, DMD is an endodontics dentist in Albuquerque, NM. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Jeffrey Michael Clark, DMD NPI is 1891989158. 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:

10429 LAGRIMA DE ORO RD NE
ALBUQUERQUE, NM
ZIP 87111
Phone: (505) 297-8630

The enumeration date for this NPI number is 8/30/2007 and was last updated on 2/21/2017.

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:

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