What is Jeffry Clark's NPI number?

Jeffry Clark's National Provider Identifier (NPI) is 1790821429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffry Clark's specialty?

Jeffry Clark is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Jeffry Clark located?

Jeffry Clark's practice location on file with NPPES is 1950 Roland Clarke Pl, Reston, VA 20191-1414.

What is Jeffry Clark's phone number?

The practice phone number listed in the NPPES registry for Jeffry Clark is (703) 391-2600.

Is Jeffry Clark's NPI active?

Yes — Jeffry Clark's NPI (1790821429) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jeffry Clark, D.D.S.

NPI 1790821429 · Dentist · Reston, VA

Jeffry Clark, D.D.S. is a Dentist provider in Reston, VA (NPI 1790821429).

Provider details

NPI number: 1790821429
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: 0401008224 (VA)

Specialties & taxonomies

DentistPrimary122300000XLicense 0401008224 (VA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

1950 Roland Clarke Pl

420

Reston, VA 20191-1414

Phone: (703) 391-2600

Fax: (703) 391-2097

Street-level locationGet directions

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Mailing address