Kelly R Clarke is a St Petersburg, Florida based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kelly R Clarke is
DN19600 for General Practice Dentistry in Florida. His current practice location is
3303 4th St N Ste 200, St Petersburg. Patients can reach him at
727-485-0882.
Kelly R Clarke 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 R Clarke 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 R Clarke |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3303 4th St N Ste 200, St Petersburg,
Florida, 33704-1305 |
| Phone: | 727-485-0882 |
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: | 1437132305 |
| NPI Enumeration Date: | 23 Nov, 2005 |
| NPI Last Update On: | 20 Aug, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly R Clarke are as mentioned below.
| License Number | Specialization | State | Status | |
| DN19600 | General Practice Dentistry | Florida | Primary | |
| DE00010199 | General Practice Dentistry | Washington | Secondary | |
| D8421 | General Practice Dentistry | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly R Clarke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 233086 | Medicaid | Oregon | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6885 Foxtail Palm Way Apt 202,
Bradenton, Florida |
| Zip: | 34210-7046 |
| Phone Number: | 941-447-2152 |
Patients can reach Kelly R Clarke at
3303 4th St N Ste 200, St Petersburg, Florida or can
call to book an appointment on 727-485-0882.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.