Individual provider · Type 1 NPI
Jennifer L. Clark, DDS, MSD
Periodontics · Chico, CA
NPI number
1205189719
Active
Practice location
1279 E 1st Ave Ste D
Chico, CA 95926-1542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DD4420 (NM) |
| Periodontics | 1223P0300X | 59915 (CA) |
| Periodontics | 1223P0300X | DEN.00202055 (CO) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Chico
About NPI 1205189719
Jennifer L. Clark, DDS, MSD's National Provider Identifier is 1205189719, issued on Oct 22, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chico, CA. The record was last updated on Dec 8, 2021.