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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.