Individual provider · Type 1 NPI

Jayson Clark, DDS

Dentist · Boise, ID

NPI number 1659667459 Active

Practice location

4274 N Eagle Road
Boise, ID 83713

Mailing address

1781 W Milazzo St
Meridian, ID 83646-5099

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-4363 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1659667459

Jayson Clark, DDS's National Provider Identifier is 1659667459, issued on Jun 21, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Boise, ID. The record was last updated on Jun 21, 2011.