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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY CLARK DDS PC

Active Organization

KELLY CLARK DDS PC is a General Dentistry organization located in DECATUR, Illinois. NPI 1982839056 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DECATUR, IL

Registration Details

NPI Number
1982839056
Provider Type
Organization
NPI Issued
May 19, 2009 (17.253662414961 yrs)
Last Updated
May 19, 2009
License
060009717 (IL)

Practice Information

Address
3737 US RT 36 E
DECATUR, IL, 62521
Browse IL providers · Browse ZIP 62521
Phone
2174232400
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in DECATUR, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.