JORDAN CLARK DMD
NPI 1700627536
Dentist - General Practice in Louisville, KY

Q: What is Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1700627536. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Q: What is Jordan 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 Jordan Clark was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 05, 2024

1901 RUDY LN, LOUISVILLE, KY 40207(502) 208-1516 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Clark Dmd NPPES

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

JORDAN CLARK DMD (NPI 1700627536) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (11123) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1700627536

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJORDAN CLARKCredential: DMD

Location Address1901 RUDY LNLouisville, KY 40207-1270

Mailing Address319 S Bayly AveLouisville, KY 40206-2506

Phone(502) 208-1516

Sole ProprietorNo

Enumeration DateJune 5, 2024

NPPES CertifiedJune 5, 2024

✔ NPI 1700627536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 11123

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.

1901 RUDY LN, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. CHRISTINE ANN CAROSELLO PT, DPT, PCES

Physical Therapist

1901 RUDY LN
LOUISVILLE, KY 40207

Jefferson County (502) 625-5657

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 Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1700627536. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Jordan Clark located?

Jordan Clark practices at 1901 Rudy Ln, Louisville, KY 40207. The listed phone number is (502) 208-1516.

What is Jordan Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jordan Clark accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jordan 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 Jordan Clark was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.