Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jefferson Clark, DDS

Individual provider Prosthodontics · NPI 1609318443

Dr. Jefferson Clark, DDS is a Prosthodontics in Roseville, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2350 Professional Dr Ste 100
Roseville, CA 95661-7747
Phone: (916) 783-0122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 63225 (CA)

Record details

NPI number1609318443
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 10, 2016
Last updated in NPPESNovember 10, 2016
Mailing address2350 Professional Dr, Suite 100, Roseville, CA 95661-7747

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