Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Clark K J PC

Organization General Practice Dentistry · NPI 1598193153

Dr Clark K J PC is a General Practice Dentistry in Pana, Illinois. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

128 S Locust St
Pana, IL 62557
Phone: (217) 562-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1598193153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Clark — Doctor Owner · (217) 562-3330
Other names Pana Family Dental
NPI enumeratedOctober 17, 2013
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address128 S Locust St, Pana, IL 62557

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