DR. JEFFREY M CLARK (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1649261850

DR. JEFFREY M CLARK (DDS) is a healthcare provider. based in Bowling green, Kentucky. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials DDS. They hold a License No. 8960 (KY). The NPI Number for DR. JEFFREY M CLARK (DDS) is 1649261850

Main info

Male
Sole Proprietor
41 Years Of Experience
Name
DR. JEFFREY M CLARK (DDS)
NPI
1649261850
Phone
(270) 783-0064
Address
1938 LYDA AVE
Enumeration Date
4 November 2005
Last Update Date
21 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707830064
Graduation Year
1985 (41 years ago)
PAC ID
0446449862
Group Practice PAC ID
5193776425
Professional Enrollment ID
I20110114000721
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEFFREY M CLARK (DDS)

  • 1938, Lyda Avenue, Eastland Park, Bowling Green, Warren County, Kentucky, 42104, United States

    BOWLING GREEN, KY 421043326

    Phone: (270) 783-0064

    Fax: (270) 901-1997

    Type: Mailing

  • 1802 ROCKINGHAM AVE

    BOWLING GREEN, KY 421043348

    Phone: (270) 783-0064

    Fax: (270) 901-1997

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,479.

Total Amount is formed as General ($1,479) + Research ($0) + Ownership ($0) = $1,479.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Dentsply Sirona Inc ($1,463).

Total Amount

$1,479

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193776425View full group profile

Reviews

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Frequently asked questions

How do I look up DR. JEFFREY M CLARK (DDS) by NPI?
Use NPI 1649261850 when you need to reference DR. JEFFREY M CLARK (DDS) in forms, claims, or directories.
Is DR. JEFFREY M CLARK (DDS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. JEFFREY M CLARK (DDS) work in?
You can think of DR. JEFFREY M CLARK (DDS) as practicing within Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JEFFREY M CLARK (DDS)?
The snapshot lists Bowling Green, Kentucky for DR. JEFFREY M CLARK (DDS); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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