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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477501419 NPPES
New Hampshire MEDICAID 89191000

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