# CLARK DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083432637
- **Authorized official:** HOLLY CLARK DDS (DDS/OWNER)
- **Authorized official phone:** (317) 273-2372

## Contact information

- **Practice address:** 7830 ROCKVILLE RD STE A, INDIANAPOLIS, IN 46214-3130
- **Practice address phone:** (317) 273-2372
- **Practice address fax:** (317) 273-2376
- **Mailing address:** 7830 ROCKVILLE RD STE A, INDIANAPOLIS, IN 46214-3130
- **Mailing address phone:** (317) 273-2372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024