Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427241058 Individual Practitioner Male Practitioner

Dr. Jay F. Clark , DDS

Dentist - General Practice • Derby, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jay Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Derby, NY. Practice services are available at 7455 ERIE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7455 Erie Rd
Lake Shore Prof Bldg

Derby, NY 140479305

Telephone 7169474308

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Derby, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Derby, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 035871

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 27, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 27, 2007

Registered at 7455 ERIE RD, LAKE SHORE PROF BLDG, DERBY, NY 140479305 (Tel: 7169474308)

📍
Updated Business Mailing Address August 27, 2007

Registered at 7455 ERIE RD, P.O. BOX 417, DERBY, NY 140479305 (Tel: 7169474308)

👤
Provider Name / Credentials Updated August 27, 2007

Recorded as JAY CLARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2007

Dentist (License #035871 in NY)

🟢
Initial NPI Registration & Enumeration August 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427241058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2007
Last Update: August 27, 2007
Sole Proprietor: Yes

Mailing Address

7455 Erie Rd, P.o. Box 417

Derby, NY 140479305

Phone: 7169474308

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.