Search › Kentucky › Oral and Maxillofacial Surgery (Dentist)
Jeffrey Clark, DDS
NPI 1649261850 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1802 Rockingham Ave
Bowling Green, KY 42104 - Phone
- (270) 783-0064
- Fax
- (270) 901-1997
- Organisation at this address
- Equity Dermatology, Pllc
Southern Kentucky Oral Surgery Associates Pllc
Anderson Aesthetics And Reconstructive Surgery PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Oral and Maxillofacial Pathology Dentistry
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-21
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 Kentucky