Jefferson Clark, DDS
NPI 1609318443 · Prosthodontics · Roseville, CA
Jefferson Clark, DDS is a Prosthodontics provider in Roseville, CA (NPI 1609318443).
Provider details
- NPI number
- 1609318443
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 63225 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
9 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$107 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-11-10
- Last updated
- 2016-11-10
Frequently asked questions
- What is Jefferson Clark's NPI number?
- Jefferson Clark's National Provider Identifier (NPI) is 1609318443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jefferson Clark's specialty?
- Jefferson Clark is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is Jefferson Clark located?
- Jefferson Clark's practice location on file with NPPES is 2350 Professional Dr, Roseville, CA 95661-7747.
- What is Jefferson Clark's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Clark is (916) 783-0122.
- Is Jefferson Clark's NPI active?
- Yes — Jefferson Clark's NPI (1609318443) is active in the NPPES registry as of the last update on 2016-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.