Jay Allen Clark, DDS

Dentist · Richfield, MN

Individual Active NPI

NPI number 1669488904

Practice location

7104 Chicago Ave
Richfield, MN 55423-3301
Phone
(612) 869-3239
Fax
(612) 866-7011

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NPI record

NPI
1669488904
Entity type
Individual (Type 1)
Enumeration date
July 31, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 10110 MN

About Dr. Clark

Jay Allen Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7104 Chicago Ave, Richfield, MN 55423-3301. The NPI number 1669488904 was assigned on July 31, 2006 and the record was last updated on July 8, 2007.

Dr. Clark lists a license in the registry: #10110 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Allen Clark, DDS?

The NPI number is 1669488904.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (612) 869-3239.

Where is Dr. Clark located?

7104 Chicago Ave, Richfield, MN 55423-3301.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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