Male or Other

Dr. Stephen J. Clark D.D.S., M.S.

Endodontist in Dayton, OH(View on Map)

Full Name

Dr. Stephen Jay Clark D.D.S., M.S.

NPI Number

1316133093

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/17/2007

Specialties

(Taxonomies)

Code

1223E0200X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

18886

Contact
Information

Purpose

Mailing
Location

Address

8228 NORTH MAIN STREET
8228 N MAIN ST

City

Dayton
Dayton

State

OH
OH

Postal Code

45415
45415-1641

Country

US
US

Telephone Number

(937) 454-1103
(937) 454-1103

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/17/2007

Provider Address

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