Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679293617 Individual Practitioner Male Practitioner

Dr. Stephen Phillip Clark , DDS

Dentist - General Practice • Berlin, MD

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Berlin, MD. Practice services are available at 11349 SAMUEL BOWEN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11349 Samuel Bowen Blvd

Berlin, MD 218112212

Telephone 8662738204
Associated Practice Facility / Clinic
🏢 Clark A Downey Dds Pc Facility NPI 1730408428

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berlin, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Berlin, MD (2555 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 17760

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.

Dental Assistant

NUCC Taxonomy Code: 126800000X

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1578230603

Doctor of Dental Surgery

NPI 1669785416
Dr. Mari Takeda , DMD

Dentist - General Practice

NPI 1790916849

Doctor of Dental Medicine

Joshua Buck

Dentist - General Practice

NPI 1831327345

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2022

Registered at 11349 SAMUEL BOWEN BLVD, BERLIN, MD 218112212 (Tel: 8662738204)

📍
Updated Business Mailing Address August 30, 2022

Registered at 707 EDGEWATER DR APT 104, SALISBURY, MD 218043619 (Tel: 7819279597)

👤
Provider Name / Credentials Updated August 30, 2022

Recorded as STEPHEN CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Dental Assistant

🟢
Initial NPI Registration & Enumeration August 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679293617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2022
Last Update: October 06, 2022
Sole Proprietor: No

Mailing Address

707 Edgewater Dr Apt 104

Salisbury, MD 218043619

Phone: 7819279597

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.