Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLAN CLARK
Active Sole ProprietorKELLAN CLARK is a Dentist healthcare provider located in WEST VALLEY CITY, Utah. NPI 1366050296 is currently active in the NPPES registry. Verify at CMS.
Dentist · WEST VALLEY CITY, UT
Registration Details
- NPI Number
- 1366050296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2020 (6.1033598006841 yrs)
- Last Updated
- Jul 16, 2020
- License
-
11782184-9922 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2792 S 5600 WWEST VALLEY CITY, UT, 841205590Browse UT providers · Browse ZIP 84120
- Phone
- 8012049889
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WEST VALLEY CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY PAUL ADAMSON | DMD | 1821192071 |
| DR. BRENT DOUGLAS BAUGH | D.D.S. | 1619023066 |
| DR. THOMAS KARL BROADBENT | — | 1063568426 |
| DR. CURTIS STEVEN SMITH | DMD | 1346386471 |
| DR. CHIPMAN PACKER | DDS | 1558493924 |
| DAVID C MACKAY | DMD | 1023213287 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.