Dr. Jason Drew Clark
D.D.S. | Pediatric Dentist
7810 Providence Rd, Suite 100, Charlotte
North Carolina, 28226-2987
704-543-3766 704-543-3768
Maps & DirectionsDr. 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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.