Jessica M. Clark, DDS
NPI 1235642828ActiveOrganization· Dentist, Pediatric Dentistry· Virginia Beach, VA
Dentist, Pediatric Dentistry in Virginia Beach, Virginia, registered in NPPES in November 2017, part of Atlantic Dental Care, PLC. The authorized official on file is Jessica Michelle Clark, DDS, Pediatric Dentist.
Overview
| NPI | 1235642828 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Atlantic Dental Care, PLC |
| NPI issued | Nov 6, 2017 |
| Last updated in NPPES | Nov 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 04041414334 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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