Individual provider · Type 1 NPI

Kellan Clark

Dentist · West Valley City, UT

NPI number 1366050296 Active

Practice location

2792 S 5600 W
West Valley City, UT 84120-5590

Call (801) 204-9889 Map

Mailing address

1506 S 900 E
Salt Lake City, UT 84105-2306

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X11782184-9922 (UT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1366050296

Kellan Clark's National Provider Identifier is 1366050296, issued on Jul 16, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in West Valley City, UT. The record was last updated on Jul 16, 2020.