Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457424434 Individual Practitioner Male Practitioner

Dr. Jay Regan Clark , DDS

Dentist - General Practice • Spokane Valley, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jay Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spokane Valley, WA. Practice services are available at 20 S PINES RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20 S Pines Rd

Spokane Valley, WA 992065136

Telephone 5098915299
Fax 5098916852

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane Valley, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
61 Specialists

Practicing in Spokane Valley, WA (3345 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 WA 7663

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5024112 (WA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 20 S PINES RD, SPOKANE VALLEY, WA 992065136 (Tel: 5098915299)

📍
Updated Business Mailing Address July 09, 2007

Registered at 20 S PINES RD, SPOKANE VALLEY, WA 992065136 (Tel: 5098915299)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JAY CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #7663 in WA)

🟢
Initial NPI Registration & Enumeration November 16, 2006

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: 1457424434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

20 S Pines Rd

Spokane Valley, WA 992065136

Phone: 5098915299

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.