Clark, Kendra Nicole

Clark, Kendra Nicole is an individual health care provider with primary practice located at 3880 Hulen St Ste 310 , Fort Worth TX 76107-7274. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Clark, Kendra Nicole can be contacted via phone (817) 737-7668.

Contact Information

Primary practice address
3880 Hulen St Ste 310 Fort Worth TX 76107-7274
Phone: (817) 737-7668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 34365 Texas
Dental Providers / Dentist 122300000X 3992-18 Mississippi
Dental Providers / Endodontics 1223E0200X 3992-18 Mississippi
Dental Providers / Endodontics 1223E0200X 34365 Texas

Profile Details

NPI number 1831738087
LBN Legal business name Clark, Kendra Nicole
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2020
Last updated Oct 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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