Clark, Stephen Phillip
Clark, Stephen Phillip is an individual health care provider with primary practice located at 11349 Samuel Bowen Blvd , Berlin MD 21811-2212. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Assistant, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Clark, Stephen Phillip can be contacted via phone (866) 273-8204.Contact Information
Primary practice address
11349 Samuel Bowen Blvd
Berlin MD 21811-2212
Phone: (866) 273-8204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | ||
| Dental Providers / General Practice | 1223G0001X | 17760 | Maryland |
Profile Details
| NPI number | 1679293617 |
|---|---|
| LBN Legal business name | Clark, Stephen Phillip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2022 |
| Last updated | Oct 6th, 2022 - about 3 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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