Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE CLARK, DDS
Active Sole ProprietorDR. KYLE CLARK, DDS is a General Dentistry healthcare provider located in BURKBURNETT, Texas. NPI 1619350840 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BURKBURNETT, TX
Registration Details
- NPI Number
- 1619350840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2015 (11.1169211593 yrs)
- Last Updated
- Jan 11, 2021
- Licenses
-
35550 (TX)1420 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 N AVENUE DBURKBURNETT, TX, 763543510Browse TX providers · Browse ZIP 76354
- Phone
- 9405694901
- Fax
- 9405693999
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in BURKBURNETT, TX
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID LEE DOERRE | DDS | 1477572279 |
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.