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Dr. Jerry Carl Clarke, DDS
Periodontist in Suffolk, Virginia
NPI 1356567010

Jerry Carl Clarke is a Periodontist based in Virginia Beach, VA and is specialized in Periodontics. Jerry Carl Clarke practices in Suffolk, VA and has the professional credentials of DDS. The NPI Number for Jerry Carl Clarke is 1356567010 and holds a License No. 3823 (Virginia).

The current practice location address for Jerry Carl Clarke is 2490 Pruden Blvd, Suffolk, VA and can be reached out via phone at 757-539-9398 and via fax at 757-539-9492. You can also correspond with Jerry Carl Clarke through the mailing address at 510 CAVALIER DR, VIRGINIA BEACH, VA - 23451-3834 (mailing address contact number: 757-428-3477).

Location: 2490 Pruden Blvd, Suffolk, VA, 23451-3834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356567010
Provider Name
Jerry Carl Clarke
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2490 Pruden Blvd, Suffolk, VA, 23451-3834
Phone Number
757-539-9398
Fax Number
757-539-9492
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2490 Pruden Blvd
City
Suffolk
State
Virginia
Zip
23434-4206
Phone Number
757-539-9398
Fax Number
757-539-9492
person
Provider Business Mailing Address Details
Address
2490 Pruden Blvd
City
Suffolk
State
Virginia
Zip
23434-4206
Phone Number
757-539-9398
Fax Number
757-539-9492
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
3823 (Virginia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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