Kellan Clark is a West Valley City, Utah based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kellan Clark is 11782184-9922 for Dentistry in Utah. His current practice location is 2792 S 5600 W, West Valley City. Patients can reach him at 801-204-9889.
Kellan Clark is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kellan Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kellan Clark
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
2792 S 5600 W, West Valley City, Utah, 84120-5590
Phone:
801-204-9889
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366050296
NPI Enumeration Date:
16 Jul, 2020
NPI Last Update On:
16 Jul, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellan Clark are as mentioned below.
License Number
Specialization
State
Status
11782184-9922
Dentistry
Utah
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1506 S 900 E, Salt Lake City, Utah
Zip:
84105-2306
Phone Number:
406-597-7291
Patients can reach Kellan Clark at 2792 S 5600 W, West Valley City, Utah or can call to book an appointment on 801-204-9889. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.