institution
Jev A. Clark, Dmd, Md, Llc
Oral and Maxillofacial Surgery (Dentist) in Salem, Oregon
NPI 1831686468

Jev A. Clark, Dmd, Md, Llc is a Oral and Maxillofacial Surgery (Dentist) based in Salem, OR and is specialized in Oral and Maxillofacial Surgery. Jev A. Clark, Dmd, Md, Llc practices in Salem, OR. The NPI Number for Jev A. Clark, Dmd, Md, Llc is 1831686468 and holds a License No. D10561 (Oregon).

The current practice location address for Jev A. Clark, Dmd, Md, Llc is 120 Ramsgate Sq S Ste 110, Salem, OR and can be reached out via phone at 503-371-6000. You can also correspond with Jev A. Clark, Dmd, Md, Llc through the mailing address at 120 RAMSGATE SQ S STE 110, SALEM, OR - 97302-5870 (mailing address contact number: 503-371-6000).

Location: 120 Ramsgate Sq S Ste 110, Salem, OR, 97302-5870
institution
Provider Profile Details
NPI Number
1831686468
Provider Name
Jev A. Clark, Dmd, Md, Llc
Credential
Provider Entity Type
Organization
Address
120 Ramsgate Sq S Ste 110, Salem, OR, 97302-5870
Phone Number
503-371-6000
Fax Number
Provider Enumeration Date
04/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD176989 01 OR MEDICAL LICENSE
D10561 01 OR DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
120 Ramsgate Sq S Ste 110
City
State
Zip
97302-5870
Phone Number
503-371-6000
Fax Number
person
Provider Business Mailing Address Details
Address
120 Ramsgate Sq S Ste 110
City
State
Zip
97302-5870
Phone Number
503-371-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D10561 (Oregon)
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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