Individual provider · Type 1 NPI
Jeffrey M. Clark, DDS
Oral and Maxillofacial Surgery (Dentist) · Bowling Green, KY
NPI number
1649261850
Active
Practice location
1802 Rockingham Ave
Bowling Green, KY 42104-3348
Fax (270) 901-1997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 8960 (KY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 8960 (KY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6 other providers at this address
- Anderson Aesthetics and Reconstructive Surgery PLLCPlastic and Reconstructive Surgery Physician Bowling Green, KY NPI 1093634214
- Equity Dermatology, PLLCDermatology Physician Bowling Green, KY NPI 1225855307
- Southern Kentucky Oral Surgery Associates PLLCOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1013104892
- James Michael Sutton, DMDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1316916463
- Shane Anthony Williams, DMDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1437315272
- Tom P. Carter, DMDGeneral Practice Dentistry Bowling Green, KY NPI 1982750642
Other oral and maxillofacial surgery (dentist) providers in Bowling Green
- Mark S. Allen, DMDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1134283765
- Tony Brandon Greer, DMD, MDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1164527420
- Thomas M. Thompson, DMDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1225019748
- James Michael Sutton, DMDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1316916463
- Shane Anthony Williams, DMDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1437315272
- Edyee Mullins Sturgill, DMD MDOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1679676191
- Julie A. Gaskill, DDSOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1790895910
- Jerry Cohron, PLLCOral and Maxillofacial Surgery (Dentist) Bowling Green, KY NPI 1891843504
About NPI 1649261850
Jeffrey M. Clark, DDS's National Provider Identifier is 1649261850, issued on Nov 4, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 21, 2021.