Individual
DR. STEPHEN J. CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 PONEMAH RD, AMHERST, NH 03031-2827
(603) 673-7950
(603) 672-7647
Mailing address
102 PONEMAH RD, AMHERST, NH 03031-2827
(603) 673-7950
(603) 672-7647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1566
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89191000
—
NH
Enumeration date
05/04/2006
Last updated
03/07/2023
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