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MS. JENNIFER M CLARK RDH
NPI 1972976793
Dental Hygienist in Racine, WI

Active since November 02, 2015
4915 WASHINGTON AVE STE B, RACINE, WI 53406(262) 619-1949(877) 335-3684 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jennifer M Clark Rdh NPPES

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

MS. JENNIFER M CLARK RDH (NPI 1972976793) is an individual dental hygienist in Racine, Wisconsin, licensed in Wisconsin (11479-16) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1972976793
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMS. JENNIFER M CLARKCredential: RDH
Location Address4915 WASHINGTON AVE STE BRacine, WI 53406-4221
Mailing Address4915 Washington Ave Ste BRacine, WI 53406-4221 · (262) 619-1949 · Fax (877) 335-3684
Phone(262) 619-1949
Fax(877) 335-3684
Sole ProprietorNo
Enumeration DateNovember 2, 2015
✔ NPI 1972976793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in WI · 11479-16
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
4915 WASHINGTON AVE STE B, Racine, WI 53406
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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.

JENNIFER E HAMMACK
Dental Hygienist
4915 WASHINGTON AVE STE B
RACINE, WI 53406
Racine County (262) 619-1949
SMITA KUMAR
Dentist (General Practice)
4915 WASHINGTON AVE STE B
RACINE, WI 53406
Racine County (262) 619-1949
WISCONSIN SMILES
Clinic/Center (Dental)
4915 WASHINGTON AVE STE B
RACINE, WI 53406
Racine County (262) 619-1949

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1972976793. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Jennifer Clark located?

Jennifer Clark practices at 4915 Washington Ave Ste B, Racine, WI 53406. The listed phone number is (262) 619-1949.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.