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Active NPI 1437132305 Individual Practitioner Male Practitioner

Dr. Kelly R Clarke , DDS

Dentist - General Practice • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Clarke, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spokane, WA. Practice services are available at 2204 E 29TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2204 E 29th Ave
Ste. 208

Spokane, WA 992033961

Telephone 5095359515
Associated Practice Facility / Clinic
🏢 Inland Oral Surgery P.s. Facility NPI 1982965976

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Spokane, WA (3345 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010199

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D8421

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
233086 (OR)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Paul Fawson , DDS

Dentist - General Practice

NPI 1003108820

Doctor of Dental Surgery

NPI 1194177436

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 July 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2008

Registered at 2204 E 29TH AVE, STE. 208, SPOKANE, WA 992033961 (Tel: 5095359515)

📍
Updated Business Mailing Address July 18, 2008

Registered at 2204 E 29TH AVE, STE. 208, SPOKANE, WA 992033961 (Tel: 5095359515)

👤
Provider Name / Credentials Updated July 18, 2008

Recorded as KELLY CLARKE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2008

Dentist (License #DE00010199 in WA)

🟢
Initial NPI Registration & Enumeration November 23, 2005

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: 1437132305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2005
Last Update: July 18, 2008
Sole Proprietor: No

Mailing Address

2204 E 29th Ave, Ste. 208

Spokane, WA 992033961

Phone: 5095359515

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.