DR. KELLY MICHAEL CLARKE (NPI# 1285739409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285739409 |
| Entity Type | Individual |
| Full Name | DR. KELLY MICHAEL CLARKE |
| Credential | DDS |
| Practice Address |
2700 Grand Ave Suite B Billings MT 59102-2680 |
| Practice Telephone | 4066525550 |
| Practice Fax Number | 4066520562 |
| Mailing Telephone | 4066525550 |
| Mailing Fax Number | 4066520562 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1797-4 | MT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0113815 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1043837313 | Kelly Ann Clarke | Social Worker | 75 West St, Danbury, CT 06810-6528 | 2020-07-02 |
| 1891321287 | Kelly Clarke | Counselor | 4201 Medical Dr Ste 330, San Antonio, TX 78229-5805 | 2020-03-17 |
| 1821657693 | Kelly Clarke | Physical Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2019-06-06 |
| 1437132305 | Kelly R Clarke | Dentist | 2204 E 29th Ave, Ste. 208, Spokane, WA 99203-3961 | 2005-11-23 |
| Street Address |
2700 GRAND AVE SUITE B |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982907242 | Bridge Creek Dental PC | Dentist | 2700 Grand Ave, Suite E, Billings, MT 59102-2680 | 2010-12-08 |
| 1295939544 | Steven D Erickson | Dentist | 2700 Grand Ave, Ste C, Billings, MT 59102-2680 | 2007-06-12 |
| 1730209974 | Pediatric Dental Specialists | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2007-03-30 |
| 1598861122 | Mark Wilgus | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839230 | Trailhead Pediatric Dentistry | Dentist | 513 Hilltop Rd Ste 5, Billings, MT 59105-2375 | 2020-01-02 |
| 1720446289 | Clint Chlarson | Dentist | 3042 Golden Acres Dr, Billings, MT 59106-2254 | 2016-01-29 |
| 1346631249 | Tanner Douglas Bennion | Dentist | 2700 Grand Ave Ste B, Billings, MT 59102-2682 | 2015-02-12 |
| 1417244781 | Camron Shayn Buttars | Dentist | 1601 Zimmerman Trl Ste 1, Billings, MT 59102-7654 | 2011-07-07 |
| 1063662294 | Brady S Keller | Dentist | 1690 Rimrock Rd Ste C, Billings, MT 59102-0700 | 2008-09-24 |
| 1770922379 | Nathan Brian Stanley | Dentist | 1601 Zimmerman Trl Ste 1, Billings, MT 59102-7652 | 2013-06-18 |
| 1629324306 | Rimrock Pediatric Dentistry | Dentist | 1601 Zimmerman Trail, Suite 1, Billings, MT 59102-7652 | 2012-07-31 |
| 1013278126 | Christina M Clement | Dentist | 1690 Rimrock Rd, #c, Billings, MT 59102-0700 | 2012-06-05 |
| 1730209974 | Pediatric Dental Specialists | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2007-03-30 |
| 1427158070 | Thomas James Wickliffe | Dentist | 1690 Rimrock Rd, Billings, MT 59102-0700 | 2006-09-24 |
| Find all providers in BILLINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.