Doctor profile · Federal record
Dr. Keith Clark, D.D.S.
Orthodontics and Dentofacial Orthopedic Dentist · Granbury, TX
- NPI 1730262684
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1116 N Meadows Dr
Granbury, TX 760481717
(817) 573-4746 - Additional location
-
2600 James RD Ste 200
Granbury, TX 760493122
(817) 910-0111 - Mailing address
-
3101 Rio Grande Cir
Cresson, TX 760354193
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- March 2, 2023
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Texas #19558
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730262684. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$130
Transactions
10
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| American Orthodontics Corporation | 7 | $69.58 | |
| Solventum Corporation | 3 | $60.83 |
By nature of payment
Frequently asked questions
What is Dr. Keith Clark's medical specialty?
Dr. Keith Clark practices Orthodontics and Dentofacial Orthopedic Dentist in Granbury, TX.
Where does Dr. Keith Clark practice?
Dr. Keith Clark practices at 1116 N Meadows Dr, Granbury, TX 760481717. Office phone: 8175734746.
What is Dr. Keith Clark's NPI?
Dr. Keith Clark's National Provider Identifier (NPI) is 1730262684, issued by NPPES.