DR. STEPHEN JETER CLARK (NPI# 1386747400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386747400 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JETER CLARK |
| Credential | DMD |
| Practice Address |
University of Louisville School of Dentistry 501 S. Preston St. Louisville KY 40292-0001 |
| Practice Telephone | 5028525128 |
| Practice Fax Number | 5028527163 |
| Mailing Telephone | 5028525128 |
| Mailing Fax Number | 5028527163 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4107 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 60041076 | 05 |
| 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 |
| 1316133093 | Stephen Jay Clark | Dentist | 8228 N Main St, Dayton, OH 45415-1641 | 2007-09-17 |
| 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 |
| Street Address |
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON ST. |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40292-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639281033 | Frederick J. Schuette | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292-0001 | 2006-08-31 |
| 1912156019 | Matthew Palazzolo | Dentist | University of Louisville School of Dentistry, 501 South Preston Street, Room 229b, Louisville, KY 40292-0001 | 2008-09-12 |
| 1013088707 | Daniel A. Fadel | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292-0001 | 2006-11-13 |
| 1841387628 | Stephen T Topor | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-05 |
| 1760578587 | John W Olson | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-05 |
| 1831285394 | David O Willis | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-04 |
| 1821183468 | David Tasman | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| 1679668222 | Ann M Windchy | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| 1235224866 | Karen R Tiwana | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| 1184719742 | Robert B Zena | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698703 | Christopher Robert Millett | Music Therapist | Attn: Chris Millett - Music Therapy Clinic, School of M, 2301 South 3rd St, Louisville, KY 40292 | 2020-01-14 |
| 1376048561 | Dallas Samuel Hagman | Student in an Organized Health Care Education/Training Program | Orthopaedic Surgery Academic Office, Attn: Monica Welsh, 550 S. Jackson Street, Acb, 1st Floor, Louisville, KY 40292 | 2018-03-28 |
| 1477087898 | Bryan T Kendricks | Dentist | School of Dentistry University of Louisville, Rm 148, Louiville, KY 40292 | 2017-04-12 |
| 1619391778 | Rebecca Park | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40292 | 2014-02-10 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1871607150 | Barbara Ann Stetson | Psychologist | Dept of Psychological & Brain Sciences, 317 Life Sci Ences Bldg, Univ of Louisville, Louisville, KY 40292 | 2006-08-17 |
| 1508848854 | Maya Leggett | Emergency Medicine | Department of Surgery; School of Medicine, University of Louisville, Louisville, KY 40292 | 2005-11-14 |
| 1396277067 | Tamour Khan Tareen | Student in an Organized Health Care Education/Training Program | 500 South Preston Street, Hsc-a Rm. 113, Louisville, KY 40292 | 2017-03-31 |
| 1780079905 | Jae Kim | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40292 | 2015-04-03 |
| 1992044424 | Eiad Nehad Elathamna | Dentist | 501 South Preston Street, Room # 312, Louisville, KY 40292 | 2013-02-04 |
| Find all providers in zip 40292 | ||||
| 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 |
|---|---|---|---|---|
| 1881146595 | Scott Endodontics, Plc | Dentist | 300 Middletown Park Pl, Suite B, Louisville, KY 40243-2513 | 2016-10-28 |
| 1356613277 | Louisville Endodontics | Dentist | 7980 New Lagrange Road, Suite 2, Louisville, KY 40222 | 2012-02-08 |
| 1053683342 | Springhurst Endodontics Psc | Dentist | 3801 Springhurst Blvd Ste 108, Louisville, KY 40241-6137 | 2012-02-01 |
| 1215246012 | Anthony C Leung | Dentist | 1605 Wood Thrush Trce, Louisville, KY 40245-6501 | 2010-09-28 |
| 1568653848 | Kool Smiles, Psc | Dentist | 1211 W Broadway, Louisville, KY 40203-2007 | 2007-08-05 |
| 1720290026 | Metro Louisville Endodontics,llc | Dentist | 3036 Breckenridge Ln Ste 103, Louisville, KY 40220-2196 | 2007-05-07 |
| 1720101140 | John Lewis Creech IIi | Dentist | 7980 New Lagrange Rd, Unit #2, Louisville, KY 40222-4767 | 2007-04-09 |
| 1386766327 | Paul L Abbott | Dentist | 9710 Park Plaza Ave Unit 109, Louisville, KY 40241-2292 | 2007-04-03 |
| 1568592996 | Richard Clay Gilbert | Dentist | 11509 Shelbyville Rd, Louisville, KY 40243-1372 | 2007-03-06 |
| 1003952516 | Brian Frutchey | Dentist | 850 W South Boulder Rd Unit 201, Louisville, CO 80027-2417 | 2007-01-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40292 |
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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.