Clark Dental Group, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLARK DENTAL GROUP, P.A.

Practice address

211 W Belt Line Rd
Cedar Hill, TX 75104-2066

Phone

(972) 291-4281

Fax

(972) 291-6466

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Glenn Clark, D.D.S.NPI 1366537524

Title

C.E.O/ President

Phone

(972) 291-4281

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Glenn Clark, D.D.S.

  • General Practice Dentistry
  • Cedar Hill, TX
  • NPI 1366537524
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639264732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W BELT LINE RD",
            "address_2": "SOUTH SUITE",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042066",
            "telephone_number": "972-291-4281",
            "fax_number": "972-291-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W BELT LINE RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042066",
            "telephone_number": "972-291-4281",
            "fax_number": "972-291-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "C.E.O/ PRESIDENT",
        "authorized_official_telephone_number": "972-291-4281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chosen Angel (Chosen Angels)
• Christabel, LLC
• Christinas Compassionate Healthcare LLC
• City of Cedar Hill (Cedar Hill Fire Department)
• Clarence-Marcellus Place
• Brian Glenn Clark, D.D.S.
• Shelly Kay Clark, D.D.S.
• Kenyatta Brown Cobb, DPT
• Coif-Soe Inc (morning star pharmacy)
• Collier Family Dnetistry PLLC

• General Practice Dentistry in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.