Clark, Stephen J.
Clark, Stephen J. is an individual health care provider with primary practice located at 102 Ponemah Rd , Amherst NH 03031-2827. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, Stephen J. can be contacted via phone (603) 673-7950.Contact Information
Primary practice address
102 Ponemah Rd
Amherst NH 03031-2827
Phone: (603) 673-7950
Fax: (603) 672-7647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1566 | New Hampshire |
Profile Details
| NPI number | 1477501419 |
|---|---|
| LBN Legal business name | Clark, Stephen J. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477501419 | NPPES |
| New Hampshire | MEDICAID | 89191000 |
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