DR. JACK R CLARK DMD
NPI 1083840342
Dentist - General Practice in Homewood, AL

Q: What is Jack Clark's NPI number?

The NPI number for Jack Clark is 1083840342. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Q: What is Jack Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Clark was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 01, 2009

1856 LANCASTER RD, HOMEWOOD, AL 35209(205) 871-2591(205) 879-1900 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack R Clark Dmd NPPES

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

DR. JACK R CLARK DMD (NPI 1083840342) is an individual general practice provider in Homewood, Alabama, licensed in Alabama (4290) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1083840342

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK R CLARKCredential: DMD

Location Address1856 LANCASTER RDHomewood, AL 35209-4114

Mailing Address1856 Lancaster RdHomewood, AL 35209-4114 · (205) 871-2591 · Fax (205) 879-1900

Phone(205) 871-2591

Fax(205) 879-1900

Sole ProprietorYes

Enumeration DateJune 1, 2009

✔ NPI 1083840342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AL · 4290

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1856 LANCASTER RD, Homewood, AL 35209

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Other Providers at the Same Location NPPES

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

WORTHAM DENTAL

Dentist (General Practice)

1856 LANCASTER RD
HOMEWOOD, AL 35209

Jefferson County (205) 871-2591

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 Jack Clark's NPI number?

The NPI number for Jack Clark is 1083840342. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Jack Clark located?

Jack Clark practices at 1856 Lancaster Rd, Homewood, AL 35209. The listed phone number is (205) 871-2591.

What is Jack Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jack Clark was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.