DR. JEFFREY M CLARK D.D.S.
NPI 1588915854
Dentist - Endodontics in Cherry Point, NC

Q: What is Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1588915854. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Q: What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Jeffrey Clark enrolled in Medicare?

No. Jeffrey Clark has opted out of Medicare through July 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 27, 2012Opted out of Medicare · through Jul 6, 2027

MCAS CHERRY POINT, 4389 BEAUFORT RD., CHERRY POINT, NC 28533(252) 466-0418 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeffrey M Clark D.d.s. NPPES

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

DR. JEFFREY M CLARK D.D.S. (NPI 1588915854) is an individual endodontics provider in Cherry Point, North Carolina, licensed in North Carolina (12142) and active in the NPI registry since September 2012. He has opted out of Medicare through July 6, 2027.

NPPES Registry Identity

NPI1588915854

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. JEFFREY M CLARKCredential: D.D.S.

Location AddressMCAS CHERRY POINT, 4389 BEAUFORT RD.Cherry Point, NC 28533

Mailing AddressMcas Cherry Point, 4389 Beaufort Rd.Cherry Point, NC 28533 · (252) 466-0418

Phone(252) 466-0418

Sole ProprietorNo

Enumeration DateSeptember 27, 2012

Last NPPES UpdateAugust 11, 2023

NPPES CertifiedAugust 8, 2023

✔ NPI 1588915854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in NC · 12142

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 8360392-9921 (UT)

MCAS CHERRY POINT, Cherry Point, NC 28533

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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 M Clark D.d.s. 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 July 6, 2021 through July 6, 2027.

Opt-Out Effective DateJuly 6, 2021

Opt-Out In Effect ThroughJuly 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 1588915854. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Jeffrey Clark located?

Jeffrey Clark practices at Mcas Cherry Point 4389 Beaufort Rd., Cherry Point, NC 28533. The listed phone number is (252) 466-0418.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jeffrey Clark enrolled in Medicare?

No. Jeffrey Clark has opted out of Medicare through July 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.