Stephen Phillip Clark, DDS

General Practice Dentistry · Berlin, MD

Individual Active NPI

NPI number 1679293617

Practice location

11349 Samuel Bowen Blvd
Berlin, MD 21811-2212
Phone
(866) 273-8204

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NPI record

NPI
1679293617
Entity type
Individual (Type 1)
Enumeration date
August 30, 2022
Last updated
October 6, 2022
Certified
October 6, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17760 MD
Dental Assistant 126800000X — —

Mailing address

707 Edgewater Dr Apt 104
Salisbury, MD 21804-3619
Phone
(781) 927-9597

About Dr. Clark

Stephen Phillip Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11349 Samuel Bowen Blvd, Berlin, MD 21811-2212. The NPI number 1679293617 was assigned on August 30, 2022 and the record was last updated on October 6, 2022.

Dr. Clark lists a license in the registry: #17760 (MD) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Phillip Clark, DDS?

The NPI number is 1679293617.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (866) 273-8204.

Where is Dr. Clark located?

11349 Samuel Bowen Blvd, Berlin, MD 21811-2212.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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