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DR. JEFFRY STEPHEN CLARK D.D.S.
NPI 1790821429
Dentist in Reston, VA

Active since January 29, 2007
1950 ROLAND CLARKE PL, 420, RESTON, VA 20191(703) 391-2600(703) 391-2097 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffry Stephen Clark D.d.s. NPPES

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

DR. JEFFRY STEPHEN CLARK D.D.S. (NPI 1790821429) is an individual dentist in Reston, Virginia, licensed in Virginia (0401008224) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1790821429
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFRY STEPHEN CLARKCredential: D.D.S.
Location Address1950 ROLAND CLARKE PL, 420Reston, VA 20191-1414
Mailing Address1950 Roland Clarke Pl, 420Reston, VA 20191-1414 · (703) 391-2600 · Fax (703) 391-2097
Phone(703) 391-2600
Fax(703) 391-2097
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790821429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401008224
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1950 ROLAND CLARKE PL, Reston, VA 20191
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Other Providers at the Same Location NPPES 3

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

DR. SHANE RYAN COSTA D.D.S
Dentist (General Practice)
1950 ROLAND CLARKE PL, SUITE 450
RESTON, VA 20191
Fairfax County (703) 391-2600
WATT AND CLARK L.C.
Dentist (General Practice)
1950 ROLAND CLARKE PL, SUITE # 420
RESTON, VA 20191
Fairfax County (703) 391-2600
DR. RICHARD TORRENCE JONES DDS
Dentist
1950 ROLAND CLARKE PL
RESTON, VA 20191
Fairfax County (703) 391-2600

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 Jeffry Clark's NPI number?

The NPI number for Jeffry Clark is 1790821429. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Jeffry Clark located?

Jeffry Clark practices at 1950 Roland Clarke Pl 420, Reston, VA 20191. The listed phone number is (703) 391-2600.

What is Jeffry Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jeffry Clark was last updated on July 8, 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.