Dr. Vincent Jerome Clark is a Portsmouth, Virginia based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Vincent Jerome Clark is
05541 for Dentistry in Virginia. His current practice location is
1437 Portsmouth Blvd., Portsmouth. Patients can reach him at
757-397-2322.
Dr. Vincent Jerome Clark is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Vincent Jerome 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. Vincent Jerome Clark |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1437 Portsmouth Blvd., Portsmouth, Virginia, 23704 |
| Phone: | 757-397-2322 |
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: | 1497764344 |
| NPI Enumeration Date: | 07 Aug, 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. Vincent Jerome Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 05541 | Dentistry | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Vincent Jerome Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9178689 | Medicaid | Virginia | |
| 274307 | Other | | ANTHEM |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1437 Portsmouth Blvd., Portsmouth, Virginia |
| Zip: | 23704 |
| Phone Number: | 757-397-2322 |
Patients can reach Dr. Vincent Jerome Clark at
1437 Portsmouth Blvd., Portsmouth, Virginia or can
call to book an appointment on 757-397-2322.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.