Dr. Jason Drew Clark is a Charlotte, North Carolina based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jason Drew Clark is 6966 for Pediatric Dentistry in North Carolina. His current practice location is 7810 Providence Rd, Suite 100, Charlotte. Patients can reach him at 704-543-3766.
Dr. Jason Drew Clark provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Jason Drew Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jason Drew Clark
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
7810 Providence Rd, Suite 100, Charlotte, North Carolina, 28226-2987
Phone:
704-543-3766
Fax:
704-543-3768
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1346201431
NPI Enumeration Date:
29 Mar, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jason Drew Clark are as mentioned below.
License Number
Specialization
State
Status
6966
Pediatric Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jason Drew Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8990141
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7810 Providence Rd, Suite 100 Charlotte, North Carolina
Zip:
28226-2987
Phone Number:
704-543-3766
Fax Number:
704-543-3768
Patients can reach Dr. Jason Drew Clark at 7810 Providence Rd, Suite 100, Charlotte, North Carolina or can call to book an appointment on 704-543-3766. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.