person
Dr. Jason Drew Clark, DDS
Pediatric Dentist in Charlotte, North Carolina
NPI 1346201431

Jason Drew Clark is a Pediatric Dentist based in Charlotte, NC and is specialized in Pediatric Dentistry. Jason Drew Clark practices in Charlotte, NC and has the professional credentials of DDS. The NPI Number for Jason Drew Clark is 1346201431 and holds a License No. 6966 (North Carolina).

The current practice location address for Jason Drew Clark is 7810 Providence Rd, Charlotte, NC and can be reached out via phone at 704-543-3766 and via fax at 704-543-3768.

Location: 7810 Providence Rd, Charlotte, NC, 28226-2987
person
Provider Profile Details
NPI Number
1346201431
Provider Name
Jason Drew Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7810 Providence Rd, Charlotte, NC, 28226-2987
Phone Number
704-543-3766
Fax Number
704-543-3768
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8990141 05 NC
institution
Provider Business Practice Location Address Details
Address
7810 Providence Rd
City
State
Zip
28226-2987
Phone Number
704-543-3766
Fax Number
704-543-3768
person
Provider Business Mailing Address Details
Address
7810 Providence Rd
City
State
Zip
28226-2987
Phone Number
704-543-3766
Fax Number
704-543-3768
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
6966 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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