Stephanie Clark is a Lakewood, California based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Stephanie Clark is
104042 for Dentistry in California. Her current practice location is
5464 South St, Ste A, Lakewood. Patients can reach her at
253-279-3647.
Stephanie Clark is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Stephanie Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Stephanie Clark |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 5464 South St, Ste A, Lakewood,
California, 90712 |
| Phone: | 253-279-3647 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1336792233 |
| NPI Enumeration Date: | 19 Jul, 2019 |
| NPI Last Update On: | 19 Jul, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 104042 | Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephanie Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 104042 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 404 E 1st St # 197,
Long Beach, California |
| Zip: | 90802-4903 |
Patients can reach Stephanie Clark at
5464 South St, Ste A, Lakewood, California or can
call to book an appointment on 253-279-3647.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.