Individual provider · Type 1 NPI
Stephen Phillip Clark, DDS
General Practice Dentistry · Berlin, MD
NPI number
1679293617
Active
Practice location
11349 Samuel Bowen Blvd
Berlin, MD 21811-2212
Mailing address
707 Edgewater Dr Apt 104
Salisbury, MD 21804-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Assistant | 126800000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | 17760 (MD) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1679293617
Stephen Phillip Clark, DDS's National Provider Identifier is 1679293617, issued on Aug 30, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Berlin, MD. The record was last updated on Oct 6, 2022.