KENDRA NICOLE CLARK DMD NPI 1831738087

NPI Information

NPI: 1831738087
Provider Name: KENDRA NICOLE CLARK, DMD
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
3880 HULEN ST STE 310
FORT WORTH, TX
ZIP 76107
Phone: (817) 737-7668
Get Directions

Kendra Nicole Clark, DMD is an endodontics dentist in Fort Worth, TX. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Kendra Nicole Clark, DMD NPI is 1831738087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3880 HULEN ST STE 310
FORT WORTH, TX
ZIP 76107-274
Phone: (817) 737-7668

The enumeration date for this NPI number is 1/4/2020 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		34365	TEXAS	No
2	122300000X	Dentist		3992-18	MISSISSIPPI	No
3	1223E0200X	Dentist	Endodontics	34365	TEXAS	Yes
4	1223E0200X	Dentist	Endodontics	3992-18	MISSISSIPPI	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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