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

Dr. Jeffry Stephen Clark, DDS

Individual provider Dentist · NPI 1790821429

Dr. Jeffry Stephen Clark, DDS is a Dentist in Reston, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
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.

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Practice location Address checks out

1950 Roland Clarke Pl 420
Reston, VA 20191-1414
Phone: (703) 391-2600
Fax: (703) 391-2097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401008224 (VA)

Record details

NPI number1790821429
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1950 Roland Clarke Pl, 420, Reston, VA 20191-1414

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