Katherine Elizabeth Clark, DMD
Dentist · Fort Mill, SC
Practice location
130 Ben Casey DrSuite 105
Fort Mill, SC 29708-6567
- Phone
- (803) 547-8200
NPI record
- NPI
- 1194749978
- Entity type
- Individual (Type 1)
- Enumeration date
- July 26, 2006
- Last updated
- July 10, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
4123 | SC |
| Pediatric Dentistry | 1223P0221X |
9012 | NC |
| Pediatric Dentistry | 1223P0221X |
4123 | SC |
About Dr. Clark
Katherine Elizabeth Clark, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567. The NPI number 1194749978 was assigned on July 26, 2006 and the record was last updated on July 10, 2012.
Dr. Clark lists 3 licenses in the registry: #4123 (SC) for Dentist; #9012 (NC) for Pediatric Dentistry; #4123 (SC) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Katherine Elizabeth Clark, DMD?
The NPI number is 1194749978.
What is the phone number of Dr. Clark?
The phone number listed for the practice location is (803) 547-8200.
Where is Dr. Clark located?
130 Ben Casey Dr, Suite 105, Fort Mill, SC 29708-6567.
What is the taxonomy code for Dr. Clark?
The primary taxonomy code is 122300000X – Dentist; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Justin Sanders1034 Gold Hill Rd
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