DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JORDAN CLARK PHDHP

MEDICARE: JORDAN CLARK PHDHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistPHDH001558PA

General Provider Information

NPI Number : 1184571804
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN CLARK PHDHP
Provider Business Mailing Address
First Line : 1 CORPORATE DR STE 107
Second Line :
City : BEDFORD
State : PA
Zip : 15522-7941
Country : US
Telephone Number : 818-709-9803
Fax Number : 814-310-5497
Provider Business Practice Location Address
First Line : 104 RAILROAD ST
Second Line :
City : BEDFORD
State : PA
Zip : 15522-1013
Country : US
Telephone Number : 814-263-5804
Fax Number : 814-310-2008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

Similar Medicare Providers

1043167760 — TRISTAN MAUK PHDHP
Practice Location Address:
104 RAILROAD ST
BEDFORD, PA
15522-1013
Practice Phone: 814-842-3206
Practice Fax: 814-310-2008
1629685995 — KAYLA DANIELLE WILT CRNP
Practice Location Address:
104 RAILROAD ST
BEDFORD, PA
15522-1013
Practice Phone: 814-623-5804
Practice Fax:
1861494635 — MRS. DESNI L DANTONE PA-C
Practice Location Address:
104 RAILROAD ST
BEDFORD, PA
15522-1013
Practice Phone: 814-263-5804
Practice Fax:
1710265939 — HYNDMAN AREA HEALTH CENTER, INC.
Practice Location Address:
104 RAILROAD ST
BEDFORD, PA
15522-1013
Practice Phone: 814-263-5804
Practice Fax: 814-310-2536
1265866834 — REBECCA J AIKEY PA-C
Practice Location Address:
104 RAILROAD ST
BEDFORD, PA
15522-1013
Practice Phone: 814-263-5804
Practice Fax: 814-310-5497
1093344574 — CHELSEA BIANCA MANNS DDS
Practice Location Address:
104 RAILROAD ST
BEDFORD, PA
15522-1013
Practice Phone: 814-263-5804
Practice Fax:

Directions to “ JORDAN CLARK PHDHP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.