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

Kellan Clark

Individual provider Dentist · NPI 1366050296

Kellan Clark is a Dentist in West Valley City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2020

Practice location Address checks out

2792 S 5600 W
West Valley City, UT 84120-5590
Phone: (801) 204-9889
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11782184-9922 (UT)

Record details

NPI number1366050296
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2020
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020
Mailing address1506 S 900 E, Salt Lake City, UT 84105-2306

Other providers in West Valley City