DR. JAY F. CLARK D.D.S.
NPI 1427241058
Dentist - General Practice in Derby, NY

Q: What is Jay Clark's NPI number?

The NPI number for Jay Clark is 1427241058. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Q: What is Jay 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 Jay Clark was last updated on August 27, 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.

Active since August 27, 2007

7455 ERIE RD, LAKE SHORE PROF BLDG, DERBY, NY 14047(716) 947-4308 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Jay F. Clark D.d.s. NPPES

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

DR. JAY F. CLARK D.D.S. (NPI 1427241058) is an individual general practice provider in Derby, New York, licensed in New York (035871) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1427241058

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAY F. CLARKCredential: D.D.S.

Location Address7455 ERIE RD, LAKE SHORE PROF BLDGDerby, NY 14047-9305

Mailing Address7455 Erie Rd, P.o. Box 417Derby, NY 14047-9305 · (716) 947-4308

Phone(716) 947-4308

Sole ProprietorYes

Enumeration DateAugust 27, 2007

✔ NPI 1427241058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 035871

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.

7455 ERIE RD, Derby, NY 14047

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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 Jay Clark's NPI number?

The NPI number for Jay Clark is 1427241058. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Jay Clark located?

Jay Clark practices at 7455 Erie Rd Lake Shore Prof Bldg, Derby, NY 14047. The listed phone number is (716) 947-4308.

What is Jay 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 Jay Clark was last updated on August 27, 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.