Individual provider · Type 1 NPI

Katherine Clark, DDS

Pediatric Dentistry · Indianapolis, IN

NPI number 1851918783 Active

Practice location

7830 Rockville Rd Ste A
Indianapolis, IN 46214-3130

Mailing address

1325 E 82nd St
Indianapolis, IN 46240-2350

Other practice locations

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 · (317) 450-7884

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X12013414A (IN)

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.

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About NPI 1851918783

Katherine Clark, DDS's National Provider Identifier is 1851918783, issued on Jun 26, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 18, 2022.