Jennifer Marie Clark in Scottsdale - Dentist
Jennifer Marie Clark - NPI 1225130990
Jennifer Marie Clark is a Dentist in Scottsdale, Arizona. Jennifer Marie Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jennifer Marie Clark is 1225130990. The last update date is 2012-05-07.
Jennifer Marie Clark's current location address is 3666 N. Miller Suite 109, Scottsdale, Arizona. You can contact this provider via phone number 4809949485 and fax number 4804813800. The mailing address for Jennifer Marie Clark is 3666 N. Miller Suite 109, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Marie Clark |
|---|---|
| Address | 3666 N. Miller Suite 109, Scottsdale, Arizona |
| Phone Number | 4809949485 |
| Fax Number | 4804813800 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1225130990 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2012-05-07 |
Provider Mailing Address Detail
| Address | 3666 N. Miller Suite 109 |
|---|---|
| City | Scottsdale |
| State | Arizona (AZ) |
| Post Code | 85251 |
| Phone Number | 4809949485 |
| Fax Number | 4804813800 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5498 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 619934 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Marie Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Marie Clark has been assigned the NPI (National Provider Identifier) 1225130990. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jennifer Marie Clark?
The Jennifer Marie Clark is situated at 3666 N. Miller Suite 109, in the city of Scottsdale, state of AZ, with the zip code 85251.
What is Jennifer Marie Clark's area of expertise and its corresponding taxonomy classification?
The Jennifer Marie Clark's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1225130990 assigned to Jennifer Marie Clark?
The Jennifer Marie Clark was issued its 1225130990 on 2006-09-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jennifer Marie Clark most recently updated or revised?
The information pertaining to Jennifer Marie Clark, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-07.