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Dr. Jeffrey M Clark, DDS
Oral and Maxillofacial Surgery (Dentist) in Bowling Green, Kentucky
NPI 1649261850

Jeffrey M Clark is a Oral and Maxillofacial Surgery (Dentist) based in Bowling Green, KY and is specialized in Oral and Maxillofacial Surgery. Jeffrey M Clark practices in Bowling Green, KY and has the professional credentials of DDS. The NPI Number for Jeffrey M Clark is 1649261850 and holds a License No. 8960 (Kentucky).

The current practice location address for Jeffrey M Clark is 1802 Rockingham Ave, Bowling Green, KY and can be reached out via phone at 270-783-0064 and via fax at 270-901-1997.

Location: 1802 Rockingham Ave, Bowling Green, KY, 42104-3348
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Provider Profile Details
NPI Number
1649261850
Provider Name
Jeffrey M Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1802 Rockingham Ave, Bowling Green, KY, 42104-3348
Phone Number
270-783-0064
Fax Number
270-901-1997
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3146210 01 TN BCBS TN
132568 01 TRICARE
702005606 01 TN CARITEN COMMERICAL INSURA
institution
Provider Business Practice Location Address Details
Address
1802 Rockingham Ave
City
State
Zip
42104-3348
Phone Number
270-783-0064
Fax Number
270-901-1997
person
Provider Business Mailing Address Details
Address
1802 Rockingham Ave
City
State
Zip
42104-3348
Phone Number
270-783-0064
Fax Number
270-901-1997
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Pathology
Taxonomy
License No.
8960 (Kentucky)
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
8960 (Kentucky)
Definition
The specialty of dentistry which includes 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.
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