SHELLY KAY CLARK D.D.S. NPI 1891880076

NPI Information

  • NPI: 1891880076
  • Provider Name: SHELLY KAY CLARK, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 211 W BELT LINE RD
    NORTH SUITE
    CEDAR HILL, TX
    ZIP 75104
  • Phone: (972) 291-0111

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NPI Details

Shelly Kay Clark, D.D.S. is a pediatric dentistry dentist in Cedar Hill, TX. The provider is 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. Shelly Kay Clark, D.D.S. NPI is 1891880076. 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:

211 W BELT LINE RD
NORTH SUITE
CEDAR HILL, TX
ZIP 75104-066
Phone: (972) 291-0111

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/8/2007.

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
11223P0221XDentistPediatric Dentistry18113TEXASYes

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: 3/30/2025

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