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

Dr. Jeffrey Michael Clark, DMD

Individual provider Endodontics · NPI 1891989158

Dr. Jeffrey Michael Clark, DMD is an Endodontics in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

10429 Lagrima De Oro Rd NE
Albuquerque, NM 87111
Phone: (505) 297-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DD4484 (NM)

Record details

NPI number1891989158
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 30, 2007
Last updated in NPPESFebruary 21, 2017
Mailing address10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111

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