Jerry Clark, DDS, MS
NPI 1619203551 · Orthodontics and Dentofacial Orthopedics Dentistry · Greensboro, NC
Jerry Clark, DDS, MS is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Greensboro, NC (NPI 1619203551).
Provider details
- NPI number
- 1619203551
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3338 (PA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-28
- Last updated
- 2009-10-28
Frequently asked questions
- What is Jerry Clark's NPI number?
- Jerry Clark's National Provider Identifier (NPI) is 1619203551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Clark's specialty?
- Jerry Clark is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Jerry Clark located?
- Jerry Clark's practice location on file with NPPES is 1115 W Friendly Ave, Greensboro, NC 27401-1844.
- What is Jerry Clark's phone number?
- The practice phone number listed in the NPPES registry for Jerry Clark is (336) 273-2528.
- Is Jerry Clark's NPI active?
- Yes — Jerry Clark's NPI (1619203551) is active in the NPPES registry as of the last update on 2009-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.