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Shelly K. Clark

Pediatric Dentistry in Cedar Hill, TX · enumerated 2012 · authorized official Shelly Clark, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831464387

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Registry record

Entity type Organization (Type 2)
Legal business name Shelly K. Clark
Practice address 211 W Belt Line Rd, Cedar Hill, TX, 75104
Phone (972) 291-0111
Fax (972) 291-0315
Enumeration date Mar 16, 2012
Last updated in NPPES Mar 16, 2012

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 18113 (TX) Primary

Authorized official

Name Shelly Clark
Title Owner
Phone (972) 291-0111

Other identifiers

Identifier Type State Issuer
1891880076 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shelly K. Clark?
NPPES lists Shelly Clark (Owner) as the authorized official for this organization.
What is the NPI number for Shelly K. Clark?
The NPI for Shelly K. Clark is 1831464387, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-16.