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DR. JEFFREY DAVID CLARK DDS
NPI 1063418044
Dentist in Scottsdale, AZ

Active since June 23, 2005Opted out of Medicare · through Jan 11, 2028
8765 E BELL RD, STE 210, SCOTTSDALE, AZ 85260(480) 585-1853(480) 585-7695 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey David Clark Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY DAVID CLARK DDS (NPI 1063418044) is an individual dentist in Scottsdale, Arizona, licensed in Arizona (4585) and active in the NPI registry since June 2005. He has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1063418044
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY DAVID CLARKCredential: DDS
Location Address8765 E BELL RD, STE 210Scottsdale, AZ 85260-1321
Mailing Address8765 E Bell Rd, Ste 210Scottsdale, AZ 85260-1321 · (480) 585-1853 · Fax (480) 585-7695
Phone(480) 585-1853
Fax(480) 585-7695
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063418044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 4585
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
8765 E BELL RD, Scottsdale, AZ 85260
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeffrey David Clark Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2022 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2022
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY D CLARK D D S P C
Dentist
8765 E BELL RD, STE 201
SCOTTSDALE, AZ 85260
Maricopa County (480) 585-1853
NORTH SCOTTSDALE ENDODONTICS
Dentist (Endodontics)
8765 E BELL RD, STE. 213
SCOTTSDALE, AZ 85260
Maricopa County (480) 731-3636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1063418044. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 8765 E Bell Rd Ste 210, Scottsdale, AZ 85260. The listed phone number is (480) 585-1853.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jeffrey Clark enrolled in Medicare?

No. Jeffrey Clark has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jeffrey Clark accept?

Health plans from Delta Dental of Arizona list Jeffrey Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.