STEPHANIE CLARK DDS
NPI 1336792233
Dentist in Lakewood, CA

Q: What is Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1336792233. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Q: What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2019

5464 SOUTH ST, STE A, LAKEWOOD, CA 90712(253) 279-3647 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephanie Clark Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE CLARK DDS (NPI 1336792233) is an individual dentist in Lakewood, California, licensed in California (104042) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1336792233

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSTEPHANIE CLARKCredential: DDS

Location Address5464 SOUTH ST, STE ALakewood, CA 90712

Mailing Address404 E 1st St # 197Long Beach, CA 90802-4903

Phone(253) 279-3647

Sole ProprietorNo

Enumeration DateJuly 19, 2019

✔ NPI 1336792233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 104042

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5464 SOUTH ST, Lakewood, CA 90712

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Other Identifiers 1

Medicaid104042CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA PAZ DULAY D.D.S.

Dentist (General Practice)

5464 SOUTH ST
LAKEWOOD, CA 90712

Los Angeles County (562) 866-0705

CAROLYN WAHBY

Dentist (General Practice)

5464 SOUTH ST
LAKEWOOD, CA 90712

Los Angeles County (714) 883-0348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1336792233. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Stephanie Clark located?

Stephanie Clark practices at 5464 South St Ste A, Lakewood, CA 90712. The listed phone number is (253) 279-3647.

What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Stephanie Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Stephanie Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.