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

Dr. Grace Xinxing Clark, DDS

Individual provider General Practice Dentistry · NPI 1407360910

Dr. Grace Xinxing Clark, DDS is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4716 Illinois Rd Ste 101
Fort Wayne, IN 46804-5123
Phone: (260) 432-7970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12012818A (IN)

Record details

NPI number1407360910
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESJanuary 12, 2018
Mailing address5120 Brookstone Way, Indianapolis, IN 46268-5417

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