Individual
DR. JEFFREY M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
MCAS CHERRY POINT, 4389 BEAUFORT RD., CHERRY POINT, NC 28533
(252) 466-0418
Mailing address
MCAS CHERRY POINT, 4389 BEAUFORT RD., CHERRY POINT, NC 28533
(252) 466-0418
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12142
NC
1223G0001X
General Practice Dentistry
8360392-9921
UT
Other
Enumeration date
09/27/2012
Last updated
08/11/2023
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