JEFFREY M CLARK DDS
NPI 1649261850
Dentist, Oral And Maxillofacial Pathology in Bowling Green,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 4, 2005

Contact Information

1802 Rockingham Ave
Bowling Green,
Post Code: 42104
Phone: (270) 783-0064
Fax: (270) 901-1997

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Jeffrey M Clark Dds in Bowling Green - Dentist, Oral and Maxillofacial Pathology

Jeffrey M Clark Dds is a Dentist, Oral and Maxillofacial Pathology in Bowling Green, . Jeffrey M Clark Dds practices all healthcare services and medical treatments related to Dentist, Oral and Maxillofacial Pathology. The NPI Number for Jeffrey M Clark Dds is 1649261850. The last update date is 2021-09-21.

Jeffrey M Clark Dds's current location address is 1802 Rockingham Ave, Bowling Green, . You can contact this provider via phone number (270) 783-0064 and fax number (270) 901-1997. The mailing address for Jeffrey M Clark Dds is 1802 Rockingham Ave, Bowling Green, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1649261850
Provider Name
JEFFREY M CLARK DDS
Gender
Male
Entity Type
Individual
Location Address
1802 Rockingham Ave, Bowling Green,
Location Phone
(270) 783-0064
Location Fax
(270) 901-1997
Mailing Address
1802 Rockingham Ave, Bowling Green, Kentucky(KY)
Mailing Phone
270-783-0064
Mailing Fax
270-901-1997
Enumeration Date
2005-11-04
Last Update Date
2021-09-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist, Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
-
License No.
8960
License State
Kentucky (KY)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 1223P0106X Oral and Maxillofacial Pathology Dentist

Dentist, Oral and Maxillofacial Pathology

8960 (Kentucky)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
132568 Other (non-Medicare) (01) () Tricare
3146210 Other (non-Medicare) (01) Tennessee (TN) BCBS TN
702005606 Other (non-Medicare) (01) Tennessee (TN) Cariten Commerical Insura

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649261850
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689462810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2689462810
2 + 6 + 8 + 9 + 4 + 6 + 2 + 8 + 1 + 0 + 24 = 70
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1649261850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376546317 MAURICE K ALLGEIER
Individual
Pediatrics 6425 BARDSTOWN RD
LOUISVILLE, Kentucky (KY)
502-762-0498
1386647337 EDWARD K PETRUSCH
Individual
Nurse Anesthetist, Certified Registered 444 COLLETT BRIDGE RD
ALVATON, Kentucky (KY)
270-842-0433
1235132283 RHONDA K BUTTLEMAN
Individual
Pediatrics 6425 BARDSTOWN RD
LOUISVILLE, Kentucky (KY)
502-762-0498
1306849344 SHELBY T WHITE
Individual
Orthopaedic Surgery 333 S 3RD ST
DANVILLE, Kentucky (KY)
859-236-8730
1063415099 ADRIAN J PELLEGRINI
Individual
Psychiatry & Neurology, Psychiatry 4003 KRESGE WAY
LOUISVILLE, Kentucky (KY)
502-899-9980