Individual provider · Type 1 NPI
Jacqueline Clary, D.M.D, M.S.D.
Prosthodontics · Chippewa, WI
NPI number
1497130512
Active
Practice location
850 Lakeland Drive
Chippewa, WI 54701
Mailing address
1885 El Paseo St Apt 32307
Houston, TX 77054-3051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 30763 (TX) |
Prosthodontics: 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.
About NPI 1497130512
Jacqueline Clary, D.M.D, M.S.D.'s National Provider Identifier is 1497130512, issued on Jul 30, 2015. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Chippewa, WI. The record was last updated on Aug 27, 2026.