Clark, Stephen Jay
Clark, Stephen Jay is an sole proprietor health care provider with primary practice located at 8228 N Main St , Dayton OH 45415-1641. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, Stephen Jay can be contacted via phone (937) 454-1103.Contact Information
Primary practice address
8228 N Main St
Dayton OH 45415-1641
Phone: (937) 454-1103
Fax: (937) 454-1140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 18886 | Ohio |
Profile Details
| NPI number | 1316133093 |
|---|---|
| LBN Legal business name | Clark, Stephen Jay |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2007 |
| Last updated | Sep 17th, 2007 - about 18 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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