Individual provider · Type 1 NPI

Jason Drew Clark, DDS

Pediatric Dentistry · Charlotte, NC

NPI number 1346201431 Active

Practice location

7810 Providence Rd, Suite 100
Charlotte, NC 28226-2987

Fax (704) 543-3768

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X6966 (NC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1346201431

Jason Drew Clark, DDS's National Provider Identifier is 1346201431, issued on Mar 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Charlotte, NC. The record was last updated on Jul 13, 2026.