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STEPHEN PHILLIP CLARK DDS
NPI 1679293617
Dentist - General Practice in Berlin, MD

Active since August 30, 2022
11349 SAMUEL BOWEN BLVD, BERLIN, MD 21811(866) 273-8204 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Aug 30, 2022 (2 updates tracked since 2022).

About Stephen Phillip Clark Dds NPPES

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

STEPHEN PHILLIP CLARK DDS (NPI 1679293617) is an individual general practice provider in Berlin, Maryland, licensed in Maryland (17760) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1679293617
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSTEPHEN PHILLIP CLARKCredential: DDS
Location Address11349 SAMUEL BOWEN BLVDBerlin, MD 21811-2212
Mailing Address707 Edgewater Dr Apt 104Salisbury, MD 21804-3619 · (781) 927-9597
Phone(866) 273-8204
Sole ProprietorNo
Enumeration DateAugust 30, 2022
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1679293617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 17760
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDental AssistantTaxonomy 126800000X
11349 SAMUEL BOWEN BLVD, Berlin, MD 21811
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

JAMAAL BROWN
Dentist (General Practice)
11349 SAMUEL BOWEN BLVD
BERLIN, MD 21811
Worcester County (301) 943-0434

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 Stephen Clark's NPI number?

The NPI number for Stephen Clark is 1679293617. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Stephen Clark located?

Stephen Clark practices at 11349 Samuel Bowen Blvd, Berlin, MD 21811. The listed phone number is (866) 273-8204.

What is Stephen Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stephen Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Stephen 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 Stephen Clark was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.