CLARK IMPLANT & ORAL SURGERY
NPI 1831686468
Dentist - Oral and Maxillofacial Surgery in Salem, OR

Active since April 19, 2018
120 RAMSGATE SQ S STE 110, SALEM, OR 97302(503) 371-6000 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark Implant & Oral Surgery NPPES

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

CLARK IMPLANT & ORAL SURGERY (NPI 1831686468) is a healthcare organization registered as an oral and maxillofacial surgery in Salem, Oregon and active in the NPI registry since April 2018. The organization lists Jev A Clark, Doctor, as its authorized official.

NPPES Registry Identity

NPI1831686468
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJEV A. CLARK, DMD, MD, LLC
Location Address120 RAMSGATE SQ S STE 110Salem, OR 97302-5870
Mailing Address120 Ramsgate Sq S Ste 110Salem, OR 97302-5870 · (503) 371-6000
Organization SubpartNo
Authorized OfficialJev A ClarkDoctor · (503) 371-6000
Enumeration DateApril 19, 2018
NPI 1831686468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in OR · D10561
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.
120 RAMSGATE SQ S STE 110, Salem, OR 97302

Other Names 1

Doing Business AsClark Implant & Oral Surgery

Other Identifiers 2

OtherD10561OR · Dental License
OtherMD176989OR · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jev A. Clark, Dmd, MD, LLC's NPI number?

The NPI number for Jev A. Clark, Dmd, MD, LLC is 1831686468. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Clark Implant & Oral Surgery.

Where is Jev A. Clark, Dmd, MD, LLC located?

Jev A. Clark, Dmd, MD, LLC is located at 120 Ramsgate Sq S Ste 110, Salem, OR 97302. The listed phone number is (503) 371-6000.

What is Jev A. Clark, Dmd, MD, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jev A. Clark, Dmd, MD, LLC was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.