Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730064114 Individual Practitioner Female Practitioner

Dr. Katherine Anne Clark , DDS

Dentist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Clark, DDS is a registered healthcare professional specializing in Dentist in Fort Worth, TX. Practice services are available at 2246 JACKSBORO HWY STE 112 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2246 Jacksboro Hwy Ste 112

Fort Worth, TX 761142363

Telephone 8175291799
Associated Practice Facility / Clinic
🏢 Bob Jing Dds Pa Facility NPI 1437304771

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
157 Specialists

Practicing in Fort Worth, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 41822

A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1861706012

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2025

Registered at 2246 JACKSBORO HWY STE 112, FORT WORTH, TX 761142363 (Tel: 8175291799)

📍
Updated Business Mailing Address August 06, 2025

Registered at 101 E GLADE RD APT 9201, GRAPEVINE, TX 760517392 (Tel: 2252412856)

👤
Provider Name / Credentials Updated August 06, 2025

Recorded as KATHERINE CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2025

Dentist (License #41822 in TX)

🟢
Initial NPI Registration & Enumeration August 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730064114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2025
Last Update: August 06, 2025
Sole Proprietor: No

Mailing Address

101 E Glade Rd Apt 9201

Grapevine, TX 760517392

Phone: 2252412856

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.