Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kelly Clark DDS PC

General Practice Dentistry in Decatur, IL · enumerated 2009 · authorized official Kelly Clark, Doctor Owner.

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

National Provider Identifier

1982839056

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Registry record

Entity type Organization (Type 2)

Legal business name Kelly Clark DDS PC

Other name <Unavail>

Practice address 3737 E Route 36, Decatur, IL, 62521

Phone (217) 423-2400

Enumeration date May 19, 2009

Last updated in NPPES Jun 9, 2026

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 060009717 (IL) Primary

Authorized official

Name Kelly Clark

Title Doctor Owner

Phone (217) 423-2400

Other identifiers

Identifier	Type	State	Issuer
1073693883	Other	IL	BLUE CROSS
1700959020	Other	IL	BLUE CROSS
1801059100	Other	IL	BLUE CROSS
1942379458	Other	IL	BLUE CROSS

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Kelly Clark DDS PC located?

The practice location on file with NPPES is in Decatur, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-09.