Jeffrey Clark

LBN: Jeffrey Clark
Jeffrey Clark is an health care organization with primary practice located at 5990 Sw 28Th St Suite D, Topeka KS 66614-2545. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jeffrey Clark can be contacted via phone (785) 273-2565, or through Clark, Jeffrey B via phone (785) 273-2565.

Contact Information

Primary practice address
5990 Sw 28Th St Suite D Topeka KS 66614-2545
Phone: (785) 273-2565
Fax: (785) 273-2567
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jeffrey B Doctor of Dental Surgery (DDS)
Phone: (785) 273-2565

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 60087 Kansas

Profile Details

NPI number 1942330782
LBN Legal business name Jeffrey Clark
DBA Doing business as
Authorized official Clark, Jeffrey B Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942330782 NPPES
Kansas Other 116611 BLUE CROSS

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