CALLEE COSBY CLARK DDS
NPI 1326278797
Dentist - Endodontics in Grand Junction, CO

Q: What is Callee Clark's NPI number?

The NPI number for Callee Clark is 1326278797. It was assigned to this individual provider in the NPPES registry on July 20, 2009. The provider is also known as Callee Elizabeth Cosby Dds.

Q: What is Callee Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Callee Clark enrolled in Medicare?

No. Callee Clark has opted out of Medicare through January 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Callee Clark was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since July 20, 2009Opted out of Medicare · through Jan 23, 2027

2530 N 8TH ST, SUITE 106, GRAND JUNCTION, CO 81501(970) 243-7392(970) 243-8086 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Callee Cosby Clark Dds NPPES

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

CALLEE COSBY CLARK DDS (NPI 1326278797) is an individual endodontics provider in Grand Junction, Colorado, licensed in Mississippi (3621-11) and active in the NPI registry since July 2009. She has opted out of Medicare through January 23, 2027.

NPPES Registry Identity

NPI1326278797

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameCALLEE COSBY CLARKCredential: DDS

Location Address2530 N 8TH ST, SUITE 106Grand Junction, CO 81501-8857

Mailing Address2530 N 8th St, Suite 106Grand Junction, CO 81501-8857 · (970) 243-7392 · Fax (970) 243-8086

Phone(970) 243-7392

Fax(970) 243-8086

Sole ProprietorYes

Enumeration DateJuly 20, 2009

Last NPPES UpdateJune 27, 2014

✔ NPI 1326278797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Licenses✔ Licensed in MS · 3621-11✔ Licensed in CO · DEN.00202198

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

2530 N 8TH ST, Grand Junction, CO 81501

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Other Names 1

Former Name (1)Callee Elizabeth Cosby Dds

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Callee Cosby Clark Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2023 through January 23, 2027.

Opt-Out Effective DateJanuary 23, 2023

Opt-Out In Effect ThroughJanuary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. DALE E. BOWEN PH.D.

Clinical Neuropsychologist

2530 N 8TH ST, SUITE 204
GRAND JUNCTION, CO 81501

Mesa County (970) 245-3505

DR. STEPHEN DAVID FANTE DDS

Dentist (Endodontics)

2530 N 8TH ST, STE 106
GRAND JUNCTION, CO 81501

Mesa County (970) 243-7392

DR. STEPHEN S. KELLY DMD

Dentist (Oral and Maxillofacial Surgery)

2530 N 8TH ST, SUITE 103
GRAND JUNCTION, CO 81501

Mesa County (970) 245-2222

JOHN L GUSTAVSON PH.D.

Clinical Neuropsychologist

2530 N 8TH ST, SUITE 204
GRAND JUNCTION, CO 81501

Mesa County (970) 245-3505

RICHARD E. STIEFLER, M.D.

Dermatology

2530 N 8TH ST, SUITE 205
GRAND JUNCTION, CO 81501

Mesa County (970) 245-1500

C.W. DERM, LLC

Dermatology

2530 N 8TH ST, SUITE 205
GRAND JUNCTION, CO 81501

Mesa County (970) 245-1500

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 Callee Clark's NPI number?

The NPI number for Callee Clark is 1326278797. It was assigned to this individual provider in the NPPES registry on July 20, 2009. The provider is also known as Callee Elizabeth Cosby Dds.

Where is Callee Clark located?

Callee Clark practices at 2530 N 8th St Suite 106, Grand Junction, CO 81501. The listed phone number is (970) 243-7392.

What is Callee Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Callee Clark enrolled in Medicare?

No. Callee Clark has opted out of Medicare through January 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Callee Clark was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.