DR. JERRY CLARKE, DDS
Dentist - Periodontics
Active
Individual
NPI: 1356567010
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 3823 (VA) |
Frequently Asked Questions
NPI 1356567010 is the National Provider Identifier for DR. JERRY CLARKE, DDS, a Dentist - Periodontics provider located in Suffolk, VA. This NPI was enumerated on April 18, 2007.
DR. JERRY CLARKE, DDS practices at 2490 PRUDEN BLVD, Suffolk, VA 23434.
Quick Facts
- NPI
- 1356567010
- Type
- Individual
- Enumerated
- Apr 18, 2007
- Last Updated
- Jan 11, 2026
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