Dr Jeffrey M Clark, DDS is a
Dentist - Endodontics based in Cherry Point, North Carolina. Dr Jeffrey M Clark is licensed to practice in North Carolina (license number 12142) and his current practice location is
Mcas Cherry Point, 4389 Beaufort Rd., Cherry Point, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 466-0418.
NPI number for Dr Jeffrey M Clark is 1588915854 and his current mailing address is Mcas Cherry Point, 4389 Beaufort Rd., Cherry Point, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588915854.
Healthcare Provider's Profile
Full Name | Dr Jeffrey M Clark |
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Gender | Male |
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Speciality | Dentist - Endodontics |
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Location | Mcas Cherry Point, Cherry Point, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588915854
- Provider Enumeration Date: 09/27/2012
- Last Update Date: 08/11/2023
Medical Identifiers
Medical identifiers for Dr Jeffrey M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588915854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223E0200X | Dentist - Endodontics | 12142 (North Carolina) | Primary |
1223G0001X | Dentist - General Practice | 8360392-9921 (Utah) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey M Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jeffrey M Clark, DDS Mcas Cherry Point, 4389 Beaufort Rd., Cherry Point, NC 28533 Ph: (252) 466-0418 | Dr Jeffrey M Clark, DDS Mcas Cherry Point, 4389 Beaufort Rd., Cherry Point, NC 28533 Ph: (252) 466-0418 |
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