Clark, Jennifer L.

Clark, Jennifer L. is an individual health care provider with primary practice located at 1279 E 1St Ave Ste D , Chico CA 95926-1542. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Clark, Jennifer L. can be contacted via phone (530) 809-2379.

Contact Information

Primary practice address
1279 E 1St Ave Ste D Chico CA 95926-1542
Phone: (530) 809-2379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DD4420 New Mexico
Dental Providers / Periodontics 1223P0300X 59915 California
Dental Providers / Periodontics 1223P0300X DEN.00202055 Colorado

Profile Details

NPI number 1205189719
LBN Legal business name Clark, Jennifer L.
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2012
Last updated Dec 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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