Kelly Clark DDS PC
Kelly Clark DDS PC is a General Practice Dentistry in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3737 E Route 36Decatur, IL 62521
Phone: (217) 423-2400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 060009717 (IL) |
|---|
Record details
| NPI number | 1982839056 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Clark — Doctor Owner · (217) 423-2400 |
| Other names | Decatur Dental Care |
| NPI enumerated | May 19, 2009 |
| Last updated in NPPES | June 9, 2026 |
| Certification date | June 9, 2026 |
| Mailing address | 3737 E Route 36, Decatur, IL 62521 |
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Dr. Jerry R Harrison, DMD
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Dr. Warren F Jesek, DDS
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Dr. Daniel Patrick Jurgens, DMD
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Dr. Larry William Osborne, DMD
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Dr. Brandon Michael Piper, DMD
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Ronald N Cole DMD PC
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