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DR. JEFFERSON CLARK DDS
NPI 1609318443
Dentist - Prosthodontics in Roseville, CA

Active since November 10, 2016
2350 PROFESSIONAL DR, SUITE 100, ROSEVILLE, CA 95661(916) 783-0122 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jefferson Clark Dds NPPES

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

DR. JEFFERSON CLARK DDS (NPI 1609318443) is an individual prosthodontics provider in Roseville, California, licensed in California (63225) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1609318443
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. JEFFERSON CLARKCredential: DDS
Location Address2350 PROFESSIONAL DR, SUITE 100Roseville, CA 95661-7747
Mailing Address2350 Professional Dr, Suite 100Roseville, CA 95661-7747 · (916) 783-0122
Phone(916) 783-0122
Sole ProprietorNo
Enumeration DateNovember 10, 2016
✔ NPI 1609318443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 63225
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
2350 PROFESSIONAL DR, Roseville, CA 95661
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Other Providers at the Same Location NPPES 4

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

DR. JOHN PAUL HANSEN DDS
Dentist
2350 PROFESSIONAL DR, SUITE 200
ROSEVILLE, CA 95661
Placer County (916) 774-1605
SIDNEY CHARLES WISDOM DDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2350 PROFESSIONAL DR, SUITE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5239
DR. MICHAEL D FORDE DDS, MS
Dentist (Prosthodontics)
2350 PROFESSIONAL DR, 100
ROSEVILLE, CA 95661
Placer County (916) 783-0122
DR. BRADLEY ROBERT THOMPSON D.D.S.
Dentist
2350 PROFESSIONAL DR, SUITE 200
ROSEVILLE, CA 95661
Placer County (916) 774-1605

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 Jefferson Clark's NPI number?

The NPI number for Jefferson Clark is 1609318443. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Jefferson Clark located?

Jefferson Clark practices at 2350 Professional Dr Suite 100, Roseville, CA 95661. The listed phone number is (916) 783-0122.

What is Jefferson Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Jefferson Clark was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.