NPI
Stephen B Clark
NPI 1487644183
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS,MS
- Type
- Individual
- Enumeration date
- 2005-10-24
- Last updated
- 2026-07-13
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Specialties
Licenses
- License NM
- DD871
Location
- Practice location
- 701 N Dustin Ave
- City
- Farmington NM
- Postal code
- 87401-6101
- Phone
- (505) 327-4495
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Farmington, NM. 2,070 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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