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Shelly K. Clark
Pediatric Dentist in Cedar Hill, Texas
NPI 1831464387

Shelly K. Clark is a Pediatric Dentist based in Cedar Hill, TX and is specialized in Pediatric Dentistry. Shelly K. Clark practices in Cedar Hill, TX. The NPI Number for Shelly K. Clark is 1831464387 and holds a License No. 18113 (Texas).

The current practice location address for Shelly K. Clark is 211 W Belt Line Rd, Cedar Hill, TX and can be reached out via phone at 972-291-0111 and via fax at 972-291-0315.

Location: 211 W Belt Line Rd, Cedar Hill, TX, 75104-2066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831464387
Provider Name
Shelly K. Clark
Credential
Provider Entity Type
Organization
Address
211 W Belt Line Rd, Cedar Hill, TX, 75104-2066
Phone Number
972-291-0111
Fax Number
972-291-0315
Provider Enumeration Date
03/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891880076 05 TX
institution
Provider Business Practice Location Address Details
Address
211 W Belt Line Rd
City
Cedar Hill
State
Texas
Zip
75104-2066
Phone Number
972-291-0111
Fax Number
972-291-0315
person
Provider Business Mailing Address Details
Address
211 W Belt Line Rd
City
Cedar Hill
State
Texas
Zip
75104-2066
Phone Number
972-291-0111
Fax Number
972-291-0315
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
18113 (Texas)
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.
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