NPI age
6 years
Enumerated 2020-01-04
● Active
Type 1 · Individual
Kendra Nicole Clark, DMD
Clark is 1 of 20 dentist providers in Fort Worth and 1 of 650 in Texas.
Primary specialty
Dentist
Plus 3 subspecialties
Licensed in
TX, MS
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 650 active dentist providers in Texas.
NPI age
6 years
↓ 10 yr below median (16 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Practice location
3880 Hulen St Ste 310
Fort Worth, TX 761077274
Mailing address
2225 Marilla St Apt 4310
Dallas, TX 752015959
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2650 Beach Blvd
Biloxi, MS 395314517
Specialties
-
Dentist PrimaryThe branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.