Jeffrey Clark, DDS

ActiveIndividual ProviderDentistry
NPI issued: June 23, 2005

Quick Facts

NPI Number
1063418044
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(480) 585-1853
StateAZ

NPI Validation Status: Verified

Valid 10-digit NPI number (1063418044)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 23, 2005)
Data source: CMS NPPES

Provider Overview

JEFFREY CLARK, DDS is a Dentistry provider based in Scottsdale, AZ who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063418044
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateJune 23, 2005

Practice Location

CityScottsdale
StateAZ
ZIP Code85260-1321
Phone(480) 585-1853

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateAZ

Mailing Address

CityScottsdale
StateAZ
ZIP Code85260-1321
Phone(480) 585-1853
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063418044 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1063418044for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063418044 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
125,053
Dentistry Providers in the US

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People Also Ask

What is Jeffrey Clark's NPI number?
Jeffrey Clark's NPI number is 1063418044, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jeffrey Clark's NPI currently active?
Yes, Jeffrey Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Jeffrey Clark specialize in?
Jeffrey Clark specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Jeffrey Clark practice?
Jeffrey Clark practices in Scottsdale, AZ 85260-1321.
When was Jeffrey Clark's NPI issued?
Jeffrey Clark's NPI was issued on June 23, 2005.
What is Jeffrey Clark's provider type?
Jeffrey Clark is registered as an Individual Provider under CMS NPI Type 1.