Search › Idaho › 122300000X
Jayson Clark, D.D.S
NPI 1659667459 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4274 N Eagle Road
Boise, ID 83713 - Phone
- (208) 938-8228
- Organisation at this address
- Robinson Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-21
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 Idaho