DR. KEITH LEE CLARK D.D.S.
NPI 1730262684
Dentist - Orthodontics and Dentofacial Orthopedics in Granbury, TX

Active since October 23, 2006
1116 N MEADOWS DR, GRANBURY, TX 76048(817) 573-4746 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 2, 2023, Feb 14, 2019, Jun 16, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Keith Lee Clark D.d.s. NPPES

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

DR. KEITH LEE CLARK D.D.S. (NPI 1730262684) is an individual orthodontics and dentofacial orthopedics provider in Granbury, Texas, licensed in Texas (19558) and active in the NPI registry since October 2006. He maintains a secondary practice location in Granbury.

NPPES Registry Identity

NPI1730262684
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KEITH LEE CLARKCredential: D.D.S.
Location Address1116 N MEADOWS DRGranbury, TX 76048-1717
Mailing Address3101 Rio Grande CirCresson, TX 76035-4193 · (318) 455-1121
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 2, 20235 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1730262684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License✔ Licensed in TX · 19558
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1116 N MEADOWS DR, Granbury, TX 76048

Secondary Practice Location 1

Location 12600 James Rd Ste 200Granbury, TX 76049-3122 · Phone (817) 910-0111

Other Providers at the Same Location NPPES 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1116 N MEADOWS DR
GRANBURY, TX 76048
Dentist (Pediatric Dentistry)
1116 N MEADOWS DR
GRANBURY, TX 76048

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 Keith Clark's NPI number?

The NPI number for Keith Clark is 1730262684. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Keith Clark located?

Keith Clark practices at 1116 N Meadows Dr, Granbury, TX 76048. The listed phone number is (817) 573-4746.

What is Keith Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Keith Clark was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.