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Contact Information

JEFFREY M CLARK, DDS
MCAS CHERRY POINT
4389 BEAUFORT RD.
CHERRY POINT AIR STATION, NC28533
 Phone: 252-466-0418
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

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

NPI Number 1588915854
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/27/2012
Last updated 08/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 12142
  • UT License # 8360392-9921
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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