SHELLY K. CLARK, DENTISTRY FOR CHILDREN
NPI 1821684929
Dentist - Pediatric Dentistry in Midlothian, TX

Active since December 14, 2020
4450 E HIGHWAY 287, MIDLOTHIAN, TX 76065(972) 723-0111 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelly K. Clark, Dentistry For Children NPPES

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

SHELLY K. CLARK, DENTISTRY FOR CHILDREN (NPI 1821684929), doing business as Shelly K. Clark, Dds Dentistry For Children, is a healthcare organization registered as a pediatric dentistry in Midlothian, Texas and active in the NPI registry since December 2020. The organization lists Shelly Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1821684929
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSHELLY K. CLARK, DENTISTRY FOR CHILDREN
Location Address4450 E HIGHWAY 287Midlothian, TX 76065-5576
Mailing Address4450 E Highway 287Midlothian, TX 76065-5576 · (972) 723-0111
Organization SubpartYes
Authorized OfficialShelly ClarkOwner · (972) 291-4281
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
NPI 1821684929 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.
4450 E HIGHWAY 287, Midlothian, TX 76065

Other Names 1

Doing Business AsShelly K. Clark, Dds Dentistry For Children

Other Identifiers 1

Medicaid210909202TX

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 3

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

Dentist (Pediatric Dentistry)
4450 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Dentist (General Practice)
4450 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Dentist
4450 E HIGHWAY 287
MIDLOTHIAN, TX 76065

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, Dentistry For Children's NPI number?

The NPI number for Shelly K. Clark, Dentistry For Children is 1821684929. It was assigned to this organization in the NPPES registry on December 14, 2020. The provider is doing business as Shelly K. Clark, DDS Dentistry for Children.

Where is Shelly K. Clark, Dentistry For Children located?

Shelly K. Clark, Dentistry For Children is located at 4450 E Highway 287, Midlothian, TX 76065. The listed phone number is (972) 723-0111.

What is Shelly K. Clark, Dentistry For Children'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, Dentistry For Children was last updated on December 14, 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.