Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephen Phillip Clark, DDS

Individual provider Dental Assistant · NPI 1679293617

Stephen Phillip Clark, DDS is a Dental Assistant in Berlin, Maryland. Licensed in Maryland. Registered with an NPI since 2022.

Licensed in
MD
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

11349 Samuel Bowen Blvd
Berlin, MD 21811-2212
Phone: (866) 273-8204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 17760 (MD)
Dental Assistant Taxonomy 126800000X

Record details

NPI number1679293617
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing address707 Edgewater Dr Apt 104, Salisbury, MD 21804-3619