Individual
JORDAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
104 RAILROAD ST, BEDFORD, PA 15522-1013
(814) 263-5804
(814) 310-2008
Mailing address
1 CORPORATE DR STE 107, BEDFORD, PA 15522-7941
(818) 709-9803
(814) 310-5497
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH001558
PA
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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