KELLY R CLARKE DDS
NPI 1437132305
Dentist - General Practice in St Petersburg, FL

Active since November 23, 2005
3303 4TH ST N STE 200, ST PETERSBURG, FL 33704(727) 485-0882 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly R Clarke Dds NPPES

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

KELLY R CLARKE DDS (NPI 1437132305) is an individual general practice provider in St Petersburg, Florida, licensed in Florida (DN19600) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1437132305
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKELLY R CLARKECredential: DDS
Location Address3303 4TH ST N STE 200St Petersburg, FL 33704-1305
Mailing Address6885 Foxtail Palm Way Apt 202Bradenton, FL 34210-7046 · (941) 447-2152
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1437132305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in FL · DN19600✔ Licensed in WA · DE00010199✔ Licensed in OR · D8421
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3303 4TH ST N STE 200, St Petersburg, FL 33704

Other Identifiers 1

Medicaid233086OR

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
3303 4TH ST N STE 200
ST PETERSBURG, FL 33704

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 Kelly Clarke's NPI number?

The NPI number for Kelly Clarke is 1437132305. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Kelly Clarke located?

Kelly Clarke practices at 3303 4th St N Ste 200, St Petersburg, FL 33704. The listed phone number is (727) 485-0882.

What is Kelly Clarke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelly Clarke accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Kelly Clarke 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 Kelly Clarke was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.