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SHELLY K. CLARK D.D.S., P.A.
NPI 1669567772
Dentist - Pediatric Dentistry in Cedar Hill, TX

Active since October 04, 2006
211 W BELT LINE RD, SOUTH SUITE, CEDAR HILL, TX 75104(972) 291-0111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelly K. Clark D.d.s., P.a. NPPES

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

SHELLY K. CLARK D.D.S., P.A. (NPI 1669567772) is a healthcare organization registered as a pediatric dentistry in Cedar Hill, Texas and active in the NPI registry since October 2006. The organization lists Shelly K. Clark, President/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1669567772
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSHELLY K. CLARK D.D.S., P.A.
Location Address211 W BELT LINE RD, SOUTH SUITECedar Hill, TX 75104-2066
Mailing Address211 W Belt Line Rd, South SuiteCedar Hill, TX 75104-2066 · (972) 291-0111
Phone(972) 291-0111
Organization SubpartNo
Authorized OfficialShelly K. ClarkPresident/ Ceo · (972) 291-0111
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669567772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
211 W BELT LINE RD, Cedar Hill, TX 75104
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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

Other Providers at the Same Location NPPES 4

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

DR. BRIAN GLENN CLARK D.D.S.
Dentist (General Practice)
211 W BELT LINE RD
CEDAR HILL, TX 75104
Dallas County (972) 291-4281
CLARK DENTAL GROUP, P.A.
Dentist (General Practice)
211 W BELT LINE RD
CEDAR HILL, TX 75104
Dallas County (972) 291-4281
SHELLY K. CLARK
Dentist (Pediatric Dentistry)
211 W BELT LINE RD
CEDAR HILL, TX 75104
Dallas County (972) 291-0111
SHELLY KAY CLARK D.D.S.
Dentist (Pediatric Dentistry)
211 W BELT LINE RD, NORTH SUITE
CEDAR HILL, TX 75104
Dallas County (972) 291-0111

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 Shelly K. Clark D.D.S., P.A.'s NPI number?

The NPI number for Shelly K. Clark D.D.S., P.A. is 1669567772. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Shelly K. Clark D.D.S., P.A. located?

Shelly K. Clark D.D.S., P.A. is located at 211 W Belt Line Rd South Suite, Cedar Hill, TX 75104. The listed phone number is (972) 291-0111.

What is Shelly K. Clark D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Shelly K. Clark D.D.S., P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.