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

Dr. Shane Thomas Clark, DMD

Individual provider Endodontics · NPI 1003220203

Dr. Shane Thomas Clark, DMD is an Endodontics in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2800 Coors Blvd NW
Albuquerque, NM 87120-1204
Phone: (505) 352-1166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DD4100 (NM)

Record details

NPI number1003220203
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESSeptember 26, 2015
Mailing address8400 Oakland Ave Ne, Albuquerque, NM 87122-2721

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