Jeffrey Clark in Topeka - General Practice

Jeffrey Clark - NPI 1942330782

Jeffrey Clark is a General Practice in Topeka, Kansas. Jeffrey Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Clark is 1942330782. The last update date is 2020-08-22.

Jeffrey Clark's current location address is 5990 Sw 28th St., Topeka, Kansas. You can contact this provider via phone number 7852732565 and fax number 7852732567. The mailing address for Jeffrey Clark is 5990 Sw 28th St., Topeka, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jeffrey Clark
Address 5990 Sw 28th St., Topeka, Kansas
Phone Number 7852732565
Fax Number 7852732567
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Clark B Jeffrey
Credentials DDS
Telephone Number 7852732565

NPI Number Detail

NPI Number 1942330782
Provider Enumeration Date 2007-03-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5990 Sw 28th St.
City Topeka
State Kansas (KS)
Post Code 666143525
Phone Number 7852732565
Fax Number 7852732567

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 60087
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
116611 KS BLUE CROSS

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FAQs about Jeffrey Clark

What is the unique 10-digit identifier code issued to Jeffrey Clark by the Centers for Medicare & Medicaid Services?

The Jeffrey Clark has been assigned the NPI (National Provider Identifier) 1942330782 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Jeffrey Clark's physical address?

The Jeffrey Clark is physically located at 5990 Sw 28Th St., in the city of Topeka, KS, with the postal code 666143525.

What is the Jeffrey Clark's specialty and taxonomy code?

The Jeffrey Clark's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date was the 1942330782 assigned to Jeffrey Clark?

The Jeffrey Clark was issued its 1942330782 on 2007-03-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jeffrey Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffrey Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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