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DR CLARK K J PC
NPI 1598193153
Dentist - General Practice in Pana, IL

Active since October 17, 2013
128 S LOCUST ST, PANA, IL 62557(217) 562-3330 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Clark K J Pc NPPES

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

DR CLARK K J PC (NPI 1598193153), doing business as Pana Family Dental, is a healthcare organization registered as a general practice in Pana, Illinois and active in the NPI registry since October 2013. The organization lists Kelly Clark, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1598193153
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR CLARK K J PC
Location Address128 S LOCUST STPana, IL 62557
Mailing Address128 S Locust StPana, IL 62557 · (217) 562-3330
Phone(217) 562-3330
Organization SubpartNo
Authorized OfficialKelly ClarkDoctor Owner · (217) 562-3330
Enumeration DateOctober 17, 2013
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1598193153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
128 S LOCUST ST, Pana, IL 62557
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Other Names 1

Doing Business AsPana Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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.

DALE A STOCKTON DMD
Dentist (General Practice)
128 S LOCUST ST
PANA, IL 62557
Christian County (217) 562-3330

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 Dr Clark K J PC's NPI number?

The NPI number for Dr Clark K J PC is 1598193153. It was assigned to this organization in the NPPES registry on October 17, 2013. The provider is doing business as Pana Family Dental.

Where is Dr Clark K J PC located?

Dr Clark K J PC is located at 128 S Locust St, Pana, IL 62557. The listed phone number is (217) 562-3330.

What is Dr Clark K J PC's specialty?

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

What insurance does Dr Clark K J PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Dr Clark K J PC 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 Dr Clark K J PC was last updated on June 8, 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.