Dr. Kelly Clark, DDS
Dr. Kelly Clark, DDS is a General Practice Dentistry in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
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.
Practice location Address checks out
3737 E Rte 36Decatur, IL 62521-5028
Phone: (217) 423-2400
Fax: (217) 423-2460
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 019026315 (IL) |
|---|
Record details
| NPI number | 1942379458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | November 7, 2006 |
| Last updated in NPPES | June 15, 2026 |
| Certification date | June 15, 2026 |
| Mailing address | 3737 E Route 36, Decatur, IL 62521 |
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