Search › New Mexico › General Practice Dentistry
Jeffrey Clark, D.D.S
NPI 1689700684 · on the registry since 2007
Practice
- Address
- 141 W 20th Street
Farmington, NM 87401 - Phone
- (505) 325-7121
- Fax
- (505) 564-3005
- Organisation at this address
- Sunrise Dental Group Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 New Mexico