Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jerry R Clark, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1619203551

Dr. Jerry R Clark, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2009
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1115 W Friendly Ave
Greensboro, NC 27401-1844
Phone: (336) 273-2528
Fax: (336) 273-8038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 3338 (PA)

Record details

NPI number1619203551
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedOctober 28, 2009
Last updated in NPPESOctober 28, 2009

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