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Contact Information

JEFFREY D CLARK, DDS
8765 E BELL RD #201
STE 210
SCOTTSDALE, AZ85260
 Phone: 480-585-1853
 Fax: 480-585-7695
 Website: https://scottsdaledentalexcellence.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEFFREY D CLARK · (Male)

NPI Number 1063418044
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/23/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4585
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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