Individual provider · Type 1 NPI

Jefferson Clark, DDS

Prosthodontics · Roseville, CA

NPI number 1609318443 Active

Practice location

2350 Professional Dr, Suite 100
Roseville, CA 95661-7747

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X63225 (CA)

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.

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About NPI 1609318443

Jefferson Clark, DDS's National Provider Identifier is 1609318443, issued on Nov 10, 2016. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Roseville, CA. The record was last updated on Nov 10, 2016.