OrganizationActive
Kelly Clark DDS PC
NPI 1982839056 · General Practice Dentistry · Decatur, IL
Kelly Clark DDS PC is a General Practice Dentistry organization in Decatur, IL (NPI 1982839056).
Provider details
- NPI number
- 1982839056
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Clark, Owner/President(217) 423-2400
- License
- 060009717 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3737 US Rt 36 E
Decatur, IL 62521
Phone: (217) 423-2400
Street-level locationGet directions
Mailing address
3737 US Rt 36 E
Decatur, IL 62521
Other names (DBA / former)
- Doing business as
- Decatur Dental Care
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2009-05-19
Frequently asked questions
- What is Kelly Clark DDS PC's NPI number?
- Kelly Clark DDS PC's National Provider Identifier (NPI) is 1982839056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly Clark DDS PC?
- Kelly Clark DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kelly Clark DDS PC located?
- Kelly Clark DDS PC's practice location on file with NPPES is 3737 US Rt 36 E, Decatur, IL 62521.
- What is Kelly Clark DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Kelly Clark DDS PC is (217) 423-2400.
- Who is the authorized official for Kelly Clark DDS PC?
- The authorized official listed on Kelly Clark DDS PC's NPPES record is Kelly Clark, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly Clark DDS PC's NPI active?
- Yes — Kelly Clark DDS PC's NPI (1982839056) is active in the NPPES registry as of the last update on 2009-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.