SearchMarylandGeneral Practice Dentistry

Stephen Clark, DDS

NPI 1679293617 · on the registry since 2022

Practice

Address
11349 Samuel Bowen Blvd
Berlin, MD 21811
Phone
(866) 273-8204
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Dental Assistant
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland