Doctor profile · Federal record
Dr. Katherine Clark, DMD
Dentist · Pediatric Dentist · Pediatric Dentist · Fort Mill, SC
- NPI 1194749978
- 20 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
130 Ben Casey Dr, Suite 105
Fort Mill, SC 297086567
(803) 547-8200
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 10, 2012
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- South Carolina #4123 · North Carolina #9012
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194749978. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$3
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $2.87 |
By nature of payment
Frequently asked questions
What is Dr. Katherine Clark's medical specialty?
Dr. Katherine Clark practices Dentist in Fort Mill, SC.
Where does Dr. Katherine Clark practice?
Dr. Katherine Clark practices at 130 Ben Casey Dr, Fort Mill, SC 297086567. Office phone: 8035478200.
What is Dr. Katherine Clark's NPI?
Dr. Katherine Clark's National Provider Identifier (NPI) is 1194749978, issued by NPPES.