Organization · Type 2 NPI

Jev A. Clark, Dmd, Md, LLC

Oral and Maxillofacial Surgery (Dentist) · Salem, OR

NPI number 1831686468 Active

Practice location

120 Ramsgate Sq S Ste 110
Salem, OR 97302-5870

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD10561 (OR)

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.

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About NPI 1831686468

Jev A. Clark, Dmd, Md, LLC's National Provider Identifier is 1831686468, issued on Apr 19, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Salem, OR. The record was last updated on Apr 19, 2018.