Organization · Type 2 NPI

Shelly K. Clark, Dentistry for Children

Pediatric Dentistry · Midlothian, TX

NPI number 1821684929 Active

Practice location

4450 E Highway 287
Midlothian, TX 76065-5576

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

NPI record

NPI: 1821684929
Entity type: Organization (Type 2)
Issued: Dec 14, 2020
Last updated: Dec 14, 2020
Status: Active
Subpart: Yes of Shelly K. Clark, Dentistry for Children

Other names

Shelly K. Clark, DDS Dentistry for Children · doing business as

Authorized official

Dr. Shelly Clark, DDS
Owner
(972) 291-4281

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821684929

Shelly K. Clark, Dentistry for Children's National Provider Identifier is 1821684929, issued on Dec 14, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Midlothian, TX. The record was last updated on Dec 14, 2020.