Clark, Jessica Michelle

Clark, Jessica Michelle is an individual health care provider with primary practice located at 1300 Kempsville Rd Ste 5 , Virginia Beach VA 23464-6199. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Clark, Jessica Michelle can be contacted via phone (757) 467-7797.

Contact Information

Primary practice address

1300 Kempsville Rd Ste 5 Virginia Beach VA 23464-6199

Phone: (757) 467-7797

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Pediatric Dentistry	1223P0221X	6911	South Carolina

Profile Details

NPI number	1760794309
LBN Legal business name	Clark, Jessica Michelle
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jul 12th, 2010
Last updated	Nov 6th, 2017 - about 8 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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