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

Dr. Shannon Carol Clark, DDS

Individual provider Dentist · NPI 1922273481

Dr. Shannon Carol Clark, DDS is a Dentist in Joplin, Missouri. Licensed in Arkansas, Kansas and Missouri. Registered with an NPI since 2008.

Licensed in
AR, KS, MO
In the registry since
2008
Specialties on file
3
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.

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Practice location Address checks out

1411 S Range Line Rd
Joplin, MO 64801-5589
Phone: (417) 541-2666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2020005163 (MO)
Dentist Taxonomy 122300000X · Licence 62065 (KS)
Dentist Taxonomy 122300000X · Licence 3142 (AR)

Record details

NPI number1922273481
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 25, 2008
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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