KELLAN CLARK
NPI 1366050296
Dentist in West Valley City, UT

Q: What is Kellan Clark's NPI number?

The NPI number for Kellan Clark is 1366050296. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Kellan Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellan Clark was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 16, 2020

2792 S 5600 W, WEST VALLEY CITY, UT 84120(801) 204-9889 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kellan Clark NPPES

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

KELLAN CLARK (NPI 1366050296) is an individual dentist in West Valley City, Utah, licensed in Utah (11782184-9922) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1366050296

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKELLAN CLARK

Location Address2792 S 5600 WWest Valley City, UT 84120-5590

Mailing Address1506 S 900 ESalt Lake City, UT 84105-2306 · (406) 597-7291

Phone(801) 204-9889

Sole ProprietorYes

Enumeration DateJuly 16, 2020

NPPES CertifiedJuly 16, 2020

✔ NPI 1366050296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 11782184-9922

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.

2792 S 5600 W, West Valley City, UT 84120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

BIG KAHUNA DENTAL, LLC DBA ALOHA DENTAL

Dentist (Pediatric Dentistry)

2792 S 5600 W
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 969-9669

CREEK CAPITOL ORTHODONTICS- HUNTER PARK

Dentist (Orthodontics and Dentofacial Orthopedics)

2792 S 5600 W
WEST VALLEY, UT 84120

Salt Lake County (801) 969-9669

ENHANCE DENTAL- HUNTER PARK, LLC

Clinic/Center (Dental)

2792 S 5600 W
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 969-9669

CREEK CAPITOL HUNTER PARK

Dentist

2792 S 5600 W
WEST VALLEY, UT 84120

Salt Lake County (801) 969-9669

LINDSAY TOWLER DDS, MSD

Dentist (Orthodontics and Dentofacial Orthopedics)

2792 S 5600 W
WEST VALLEY, UT 84120

Salt Lake County (405) 570-7131

DR. SAMUEL ADAM MEEKS D.M.D.

Dentist

2792 S 5600 W
WEST VALLEY CITY, UT 84120

Salt Lake County (385) 342-1070

WEST SHORES SURGICAL CENTER

Clinic/Center (Ambulatory Surgical)

2792 S 5600 W, SUITE A
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 969-9669

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 Kellan Clark's NPI number?

The NPI number for Kellan Clark is 1366050296. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Kellan Clark located?

Kellan Clark practices at 2792 S 5600 W, West Valley City, UT 84120. The listed phone number is (801) 204-9889.

What is Kellan Clark's specialty?

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

What insurance does Kellan Clark accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Kellan 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 Kellan Clark was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.