DR. JENNIFER L. CLARK DDS, MSD
NPI 1205189719
Dentist - Periodontics in Chico, CA

Q: What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1205189719. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Q: What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 22, 2012

1279 E 1ST AVE STE D, CHICO, CA 95926(530) 809-2379 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jennifer L. Clark Dds, Msd NPPES

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

DR. JENNIFER L. CLARK DDS, MSD (NPI 1205189719) is an individual periodontics provider in Chico, California, licensed in New Mexico (DD4420) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1205189719

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JENNIFER L. CLARKCredential: DDS, MSD

Location Address1279 E 1ST AVE STE DChico, CA 95926-1542

Mailing Address1279 E 1st Ave Ste DChico, CA 95926-1542 · (530) 520-8401

Phone(530) 809-2379

Sole ProprietorNo

Enumeration DateOctober 22, 2012

Last NPPES UpdateDecember 8, 2021

NPPES CertifiedDecember 8, 2021

✔ NPI 1205189719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in NM · DD4420✔ Licensed in CA · 59915✔ Licensed in CO · DEN.00202055

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1279 E 1ST AVE STE D, Chico, CA 95926

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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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1205189719. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Jennifer Clark located?

Jennifer Clark practices at 1279 E 1st Ave Ste D, Chico, CA 95926. The listed phone number is (530) 809-2379.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.