Stephen B Clark is a Farmington, New Mexico based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Stephen B Clark is DD871 for Dentistry in New Mexico. His current practice location is 701 N Dustin Ave, Farmington. Patients can reach him at 505-327-4495.
Stephen B Clark is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Stephen B 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:
Stephen B Clark
Specialization:
Dentist
Gender:
Male
Credentials:
DDS,MS
Accepts Medicare Assignment:
No
Practice Address:
701 N Dustin Ave, Farmington, New Mexico, 87401-6101
Phone:
505-327-4495
Fax:
505-325-9125
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:
1487644183
NPI Enumeration Date:
24 Oct, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen B Clark are as mentioned below.
License Number
Specialization
State
Status
DD871
Dentistry
New Mexico
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephen B Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0006258
Medicaid
New Mexico
00081208
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
701 N Dustin Ave, Farmington, New Mexico
Zip:
87401-6101
Phone Number:
505-327-4495
Fax Number:
505-325-9125
Patients can reach Stephen B Clark at 701 N Dustin Ave, Farmington, New Mexico or can call to book an appointment on 505-327-4495. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.