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DR. JEFFREY M CLARK DDS
NPI 1649261850
Dentist - Oral and Maxillofacial Surgery in Bowling Green, KY

Active since November 04, 2005
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104(270) 783-0064(270) 901-1997 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2021, Aug 27, 2020, Aug 20, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Jeffrey M Clark Dds NPPES

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

DR. JEFFREY M CLARK DDS (NPI 1649261850) is an individual oral and maxillofacial surgery provider in Bowling Green, Kentucky, licensed in Kentucky (8960) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1649261850
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JEFFREY M CLARKCredential: DDS
Location Address1802 ROCKINGHAM AVEBowling Green, KY 42104-3348
Mailing Address1802 Rockingham AveBowling Green, KY 42104-3348 · (270) 783-0064 · Fax (270) 901-1997
Phone(270) 783-0064
Fax(270) 901-1997
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateSeptember 21, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1649261850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in KY · 8960
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 8960 (KY)
1802 ROCKINGHAM AVE, Bowling Green, KY 42104
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Other Identifiers 3

Other3146210TN · Bcbs Tn
Other132568Tricare
Other702005606TN · Cariten Commerical Insura

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC
Dentist (Oral and Maxillofacial Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 783-0064
ANDERSON AESTHETICS AND RECONSTRUCTIVE SURGERY PLLC
Surgery (Plastic and Reconstructive Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 407-1334
EQUITY DERMATOLOGY, PLLC
Dermatology
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 213-7777
DR. JAMES MICHAEL SUTTON DMD
Dentist (Oral and Maxillofacial Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 783-0064
DR. SHANE ANTHONY WILLIAMS D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 783-0064
DR. TOM P CARTER D.M.D.
Dentist (General Practice)
1802 ROCKINGHAM AVE
BOWLING GREEN, KY 42104
Warren County (270) 782-8480

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 1649261850. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 1802 Rockingham Ave, Bowling Green, KY 42104. The listed phone number is (270) 783-0064.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Jeffrey Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 4 other insurers list Jeffrey Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on September 21, 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.