Search › North Carolina › Orthodontics and Dentofacial Orthopedics Dentistry
Jerry Clark, DDS, MS
NPI 1619203551 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1115 W Friendly Ave
Greensboro, NC 27401 - Phone
- (336) 273-2528
- Fax
- (336) 273-8038
- Organisation at this address
- Reid M. Clark, Dds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina