Stephen Jay Clark, D.D.S., M.S.

Endodontics · Dayton, OH

Individual Active NPI

NPI number 1316133093

Practice location

8228 N Main St
Dayton, OH 45415-1641
Phone
(937) 454-1103
Fax
(937) 454-1140

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NPI record

NPI
1316133093
Entity type
Individual (Type 1)
Enumeration date
September 17, 2007
Last updated
September 17, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 18886 OH

Mailing address

8228 North Main Street
Dayton, OH 45415
Phone
(937) 454-1103
Fax
(937) 454-1140

About Dr. Clark

Stephen Jay Clark, D.D.S., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 8228 N Main St, Dayton, OH 45415-1641. The NPI number 1316133093 was assigned on September 17, 2007 and the record was last updated on September 17, 2007.

Dr. Clark lists a license in the registry: #18886 (OH) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Jay Clark, D.D.S., M.S.?

The NPI number is 1316133093.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (937) 454-1103.

Where is Dr. Clark located?

8228 N Main St, Dayton, OH 45415-1641.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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