1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Dentist
  6. NPI Profile

KATHERINE ANNE CLARK DDS
NPI 1730064114
Dentist in Fort Worth, TX

Active since August 06, 2025
2246 JACKSBORO HWY STE 112, FORT WORTH, TX 76114(817) 529-1799 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine Anne Clark Dds NPPES

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

KATHERINE ANNE CLARK DDS (NPI 1730064114) is an individual dentist in Fort Worth, Texas, licensed in Texas (41822) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1730064114
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATHERINE ANNE CLARKCredential: DDS
Location Address2246 JACKSBORO HWY STE 112Fort Worth, TX 76114-2363
Mailing Address101 E Glade Rd Apt 9201Grapevine, TX 76051-7392 · (225) 241-2856
Phone(817) 529-1799
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1730064114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 41822
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.
2246 JACKSBORO HWY STE 112, Fort Worth, TX 76114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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 Katherine Clark's NPI number?

The NPI number for Katherine Clark is 1730064114. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Katherine Clark located?

Katherine Clark practices at 2246 Jacksboro Hwy Ste 112, Fort Worth, TX 76114. The listed phone number is (817) 529-1799.

What is Katherine Clark's specialty?

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

What insurance does Katherine Clark accept?

Health plans from Humana list Katherine 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 Katherine Clark was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.