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

Katherine Anne Clark, DDS

Individual provider Dentist · NPI 1730064114

Katherine Anne Clark, DDS is a Dentist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025
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

2246 Jacksboro Hwy Ste 112
Fort Worth, TX 76114-2363
Phone: (817) 529-1799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 41822 (TX)

Record details

NPI number1730064114
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address101 E Glade Rd Apt 9201, Grapevine, TX 76051-7392

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