Shelly K. Clark

LBN: Shelly K. Clark
Shelly K. Clark is an health care organization with primary practice located at 211 W Belt Line Rd , Cedar Hill TX 75104-2066. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Shelly K. Clark can be contacted via phone (972) 291-0111, or through Clark, Shelly K. via phone (972) 291-0111.

Contact Information

Primary practice address
211 W Belt Line Rd Cedar Hill TX 75104-2066
Phone: (972) 291-0111
Fax: (972) 291-0315
Website:
Map and Directions
Authorized official contact:
Name: Clark, Shelly K. Doctor of Dental Surgery (DDS)
Phone: (972) 291-0111

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 18113 Texas

Profile Details

NPI number 1831464387
LBN Legal business name Shelly K. Clark
DBA Doing business as
Authorized official Clark, Shelly K. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2012
Last updated Mar 16th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831464387 NPPES
Texas MEDICAID 1891880076

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