Kelly Clark is a Decatur, Illinois based Dentist who is specialized in General Practice Dentistry. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. His current practice location is 3737 E Rte 36, Decatur. Patients can reach him at 217-423-2400.
Kelly 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:
Kelly 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:
Kelly Clark
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
3737 E Rte 36, Decatur, Illinois, 62521-5028
Phone:
217-423-2400
Fax:
217-423-2460
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.
PAC ID:
1850619693
Enrollment ID:
I20150407002497
NPI Number:
1942379458
NPI Enumeration Date:
07 Nov, 2006
NPI Last Update On:
21 Apr, 2010
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1710 Brentwood Dr, Mt Zion, Illinois
Zip:
62549-1183
Patients can reach Kelly Clark at 3737 E Rte 36, Decatur, Illinois or can call to book an appointment on 217-423-2400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.