DR. STEPHEN JAY CLARK (NPI# 1316133093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316133093 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JAY CLARK |
| Credential | D.D.S., M.S. |
| Practice Address |
8228 N Main St Dayton OH 45415-1641 |
| Mailing Address |
8228 North Main Street Dayton OH 45415 |
| Practice Telephone | 9374541103 |
| Practice Fax Number | 9374541140 |
| Mailing Telephone | 9374541103 |
| Mailing Fax Number | 9374541140 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
18886 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1083039085 | Stephen Clark | Clinical Nurse Specialist | 1013 E Haines St, Philadelphia, PA 19138-1533 | 2014-02-27 |
| 1801136080 | Stephen Clark | Counselor | 2020 Taft Ave, Los Angeles, CA 90068-3623 | 2013-02-25 |
| 1780702225 | Stephen Donald Clark | Counselor | 10390 Us Highway 17 N, Wilmington, NC 28411-6878 | 2007-03-26 |
| 1801981477 | Stephen Lawrence Clark | Naturopath | 646 Center St, Wolfeboro, NH 03894 | 2006-10-03 |
| 1043249519 | Stephen Ned Clark | Chiropractor | 9100 Silverdale Way, Clark Chiropractic Neck & Back, Silverdale, WA 98383-8389 | 2006-06-30 |
| 1427086347 | Stephen Hone Clark | Dentist | 2820 E Flamingo Rd, #b, Las Vegas, NV 89121-5268 | 2006-06-29 |
| 1699717769 | Stephen Chris Clark | Dentist | 7200 S Pennsylvania Ave, Suite B, Oklahoma City, OK 73159-3336 | 2006-06-12 |
| 1477501419 | Stephen J. Clark | Dentist | 102 Ponemah Rd, Amherst, NH 03031-2827 | 2006-05-04 |
| 1487644183 | Stephen B Clark | Dentist | 701 N Dustin Ave, Farmington, NM 87401-6101 | 2005-10-24 |
| Street Address |
8228 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1306831201 | Toby Scott Wilson | Dentist | 4641 Presidential Way, Dayton, OH 45429-5765 | 2005-09-16 |
| 1386825792 | John William Myers | Dentist | 529 E Stroop Rd, Dayton, OH 45429-3245 | 2007-11-14 |
| 1659493815 | John Jason Bigby | Dentist | 7501 Paragon Rd, Suite 203, Dayton, OH 45459-5318 | 2007-04-06 |
| 1326160581 | Endodontics South, Inc. | Dentist | 7501 Paragon Rd, Suite 203, Dayton, OH 45459-5318 | 2007-04-06 |
| 1528148624 | Mark E Dinkins | Dentist | 7501 Paragon Rd, Suite 203, Dayton, OH 45459-5318 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745868 | Iman Attar | Dentist | 2828 Euclid Ave Apt 207, Cleveland, OH 44115-2470 | 2019-08-15 |
| 1609421684 | Columbus Endodontic Specialists | Dentist | 7334 E Broad St Ste C, Blacklick, OH 43004-9239 | 2019-08-06 |
| 1336619873 | Alvaro Rodriguez | Dentist | 26200 George Zeiger Dr Apt 303, Beachwood, OH 44122-7533 | 2018-11-27 |
| 1942725551 | Meckler Dental Providers, Inc. | Dentist | 3455 Center Rd, Brunswick, OH 44212-3688 | 2017-08-04 |
| 1023532421 | Ddc Endodontics LLC | Dentist | 23250 Mercantile Rd Ste 110, Beachwood, OH 44122-5928 | 2017-07-28 |
| 1912428228 | Ghaeth H Yassen | Dentist | 2124 Cornell Drive, Cwru School of Dental Medicine, Cleveland, OH 44106 | 2017-06-28 |
| 1518401108 | Lev, Berberich, Stabile, Direnzo Ltd | Dentist | 8740 E Market St, Warren, OH 44484-2324 | 2016-12-15 |
| 1003359258 | Paul F Siegel Dds Inc | Dentist | 9403 Kenwood Rd Ste B205, Blue Ash, OH 45242-6829 | 2016-11-21 |
| 1346796869 | Professional Dental Alliance Specialty, LLC | Dentist | 7131 Spring Meadows Dr W, Suite C, Holland, OH 43528-7939 | 2016-08-26 |
| 1669847463 | Magdy Beshay | Dentist | 1129 E Aurora Rd Ste 102, Macedonia, OH 44056-1988 | 2015-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.