Doctor profile · Federal record
Dr. Shannon Clark, DDS
Dentist · Dentist · Dentist · Joplin, MO
- NPI 1922273481
- 18 yrs on file
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1411 S Range Line RD
Joplin, MO 648015589
(417) 541-2666
Credentials & registration
- NPI registered
- April 2008 — 18 yrs on file
- Profile last updated
- March 18, 2026
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (3)
- Missouri #2020005163 · Kansas #62065 · Arkansas #3142
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922273481. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medline Industries LP | 1 | $14.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
277
Patients
187
Total drug cost
$1,161
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 153 | 105 | $454 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 86 | 65 | $375 |
| Clindamycin Hcl | Generic | 25 | 17 | $186 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 0 | $146 |
Frequently asked questions
What is Dr. Shannon Clark's medical specialty?
Dr. Shannon Clark practices Dentist in Joplin, MO.
Where does Dr. Shannon Clark practice?
Dr. Shannon Clark practices at 1411 S Range Line RD, Joplin, MO 648015589. Office phone: 4175412666.
What is Dr. Shannon Clark's NPI?
Dr. Shannon Clark's National Provider Identifier (NPI) is 1922273481, issued by NPPES.