Dr Stephanie Clark DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR STEPHANIE CLARK DMD PC

Practice address

7601A Germantown Ave
Philadelphia, PA 19119

Phone

(215) 248-0234

NPI assigned

Jun 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Stephanie Clark, DMDNPI 1811057425

Title

President

Phone

(215) 248-0234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Clark, DMD

  • Dentist
  • Philadelphia, PA
  • NPI 1811057425
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1801058516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601A GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601A GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19119",
            "telephone_number": "215-248-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEPHANIE CLARK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-248-0234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Roxas PC (Blanc Dental Studio)
• Dr Samuel Lizerbram & Dr Neil M Cohen PC
• Dr Sandra Truskin
• Dr Stanley J Wasko , DDS & Associates, P.C.
• Dr Steinfield PC (Dr. Paul Steinfeild PC)
• Dr Stuart K Himmelstein DC PC
• Dr W.B. Putterman, P.C.
• Dr Warren E Smith Community Mental Health Mental Retardation & Substan (Dr Warren E Smith Health Centers WES Health Centers)
• Dr. Allen P. Shapiro DDS.LTD
• Dr. April Perrymore and Associates, LLC

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.