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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN JETER CLARK, DMD

Active Sole Proprietor

DR. STEPHEN JETER CLARK, DMD is a Endodontics healthcare provider located in LOUISVILLE, Kentucky. NPI 1386747400 is currently active in the NPPES registry. Verify at CMS.

Endodontics · LOUISVILLE, KY

Registration Details

NPI Number
1386747400
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2006 (19.752623388491 yrs)
Last Updated
Jul 8, 2007
License
4107 (KY)
Sole Proprietor
Yes

Practice Information

Address
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
501 S. PRESTON ST.
LOUISVILLE, KY, 402920001
Browse KY providers · Browse ZIP 40292
Phone
5028525128
Fax
5028527163
Primary Specialty
Endodontics
1223E0200X

Other Endodontics Providers in LOUISVILLE, KY

Name Credential NPI
DR. CHRISTOPHER JOHN COOK DMD 1689613887
DR. SCOTT ALAN NORTON DMD MSD 1679687867
DR. ROYCELYN LINETTE GRAY DMD 1538276787
DR. RICARDO CAICEDO DMD, DDS 1306958673
DR. WILLIAM BRIAN COOK DMD 1396848420
DR. PETER G FOTOS DDS 1285737254
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.