Shannon Carol Clark, DDS

Dentist · Joplin, MO

Individual Active NPI

NPI number 1922273481

Practice location

1411 S Range Line Rd
Joplin, MO 64801-5589
Phone
(417) 541-2666

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NPI record

NPI
1922273481
Entity type
Individual (Type 1)
Enumeration date
April 25, 2008
Last updated
March 18, 2026
Certified
March 18, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2020005163 MO
Dentist 122300000X 62065 KS
Dentist 122300000X 3142 AR

About Dr. Clark

Shannon Carol Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1411 S Range Line Rd, Joplin, MO 64801-5589. The NPI number 1922273481 was assigned on April 25, 2008 and the record was last updated on March 18, 2026.

Dr. Clark lists 3 licenses in the registry: #2020005163 (MO) for Dentist; #62065 (KS) for Dentist; #3142 (AR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shannon Carol Clark, DDS?

The NPI number is 1922273481.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (417) 541-2666.

Where is Dr. Clark located?

1411 S Range Line Rd, Joplin, MO 64801-5589.

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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