JORDAN CLARK PHDHP
NPI 1184571804
Dental Hygienist in Bedford, PA

Q: What is Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1184571804. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Q: What is Jordan Clark's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Clark was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 March 12, 2026

104 RAILROAD ST, BEDFORD, PA 15522(814) 263-5804(814) 310-2008 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Clark Phdhp NPPES

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

JORDAN CLARK PHDHP (NPI 1184571804) is an individual dental hygienist in Bedford, Pennsylvania, licensed in Pennsylvania (PHDH001558) and active in the NPI registry since March 2026. She maintains a secondary practice location in Hyndman.

NPPES Registry Identity

NPI1184571804

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameJORDAN CLARKCredential: PHDHP

Location Address104 RAILROAD STBedford, PA 15522-1013

Mailing Address1 Corporate Dr Ste 107Bedford, PA 15522-7941 · (818) 709-9803 · Fax (814) 310-5497

Phone(814) 263-5804

Fax(814) 310-2008

Sole ProprietorNo

Enumeration DateMarch 12, 2026

NPPES CertifiedMarch 12, 2026

✔ NPI 1184571804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in PA · PHDH001558

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

104 RAILROAD ST, Bedford, PA 15522

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Secondary Practice Location 1

Location 1144 5th AveHyndman, PA 15545-7379 · Phone (814) 842-3206 · Fax (814) 310-2008

Other Providers at the Same Location NPPES 13

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

NICHOLAS MONTGOMERY

Nurse Practitioner (Family)