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DR. SALLY ANN KEESE CLARK D.D.S.
NPI 1124227335
Dentist in Hot Springs, SD

Active since July 17, 2007PECOS Enrolled
602 JENNINGS AVE, HOT SPRINGS, SD 57747(605) 745-3975 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sally Ann Keese Clark D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALLY ANN KEESE CLARK D.D.S. (NPI 1124227335) is an individual dentist in Hot Springs, South Dakota, licensed in Nebraska (7190) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124227335
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SALLY ANN KEESE CLARKCredential: D.D.S.
Location Address602 JENNINGS AVEHot Springs, SD 57747-1691
Mailing Address10740 S 98th StLincoln, NE 68526-9463
Phone(605) 745-3975
Sole ProprietorNo
Enumeration DateJuly 17, 2007
Last NPPES UpdateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
✔ NPI 1124227335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NE · 7190
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D0630 (SD)
602 JENNINGS AVE, Hot Springs, SD 57747
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sally Ann Keese Clark D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57747 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MASSA DENTAL OFFICES, PC
Dentist (General Practice)
602 JENNINGS AVE
HOT SPRINGS, SD 57747
Fall River County (605) 745-3975
DR. BIANKA N/A BIDOVSKA-MILLER DDS
Dentist (General Practice)
602 JENNINGS AVE
HOT SPRINGS, SD 57747
Fall River County (605) 745-3975
DR. DONALD L MASSA D.D.S.
Dentist (General Practice)
602 JENNINGS AVE
HOT SPRINGS, SD 57747
Fall River County (605) 745-3975

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Clark's NPI number?

The NPI number for Sally Clark is 1124227335. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Sally Clark located?

Sally Clark practices at 602 Jennings Ave, Hot Springs, SD 57747. The listed phone number is (605) 745-3975.

What is Sally Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sally Clark enrolled in Medicare?

Yes. Sally Clark is registered in the Medicare PECOS enrollment system.

What insurance does Sally Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Delta Dental of Nebraska and 1 other insurer list Sally Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sally Clark was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.