Doctor profile · Federal record
Dr. Jennifer Clark, DDS, MSD
Periodontist · Periodontist · Periodontist · Chico, CA
- NPI 1205189719
- 14 yrs on file
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1279 E 1St Ave Ste D
Chico, CA 959261542
(530) 809-2379
Credentials & registration
- NPI registered
- October 2012 — 14 yrs on file
- Profile last updated
- December 8, 2021
- Specialty taxonomy
- 1223P0300X — NUCC code
- State licenses (3)
- New Mexico #DD4420 · California #59915 · Colorado #DEN.00202055
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205189719. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$489
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 2 | $489.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
12
Total drug cost
$26
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 13 | 12 | $26 |
Frequently asked questions
What is Dr. Jennifer Clark's medical specialty?
Dr. Jennifer Clark practices Periodontist in Chico, CA.
Where does Dr. Jennifer Clark practice?
Dr. Jennifer Clark practices at 1279 E 1St Ave Ste D, Chico, CA 959261542. Office phone: 5308092379.
What is Dr. Jennifer Clark's NPI?
Dr. Jennifer Clark's National Provider Identifier (NPI) is 1205189719, issued by NPPES.