DR. STEPHANIE CLARK (NPI# 1811057425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811057425 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE CLARK |
| Credential | DMD |
| Practice Address |
7601 A Germantown Ave Philadelphia PA 19119 |
| Practice Telephone | 2152480234 |
| Practice Fax Number | 2152480234 |
| Mailing Telephone | 2152480234 |
| Mailing Fax Number | 2152480234 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS024871L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1538447560 | Stephanie Renae Clark | Physical Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-07-25 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1700864733 | Stephanie Elaine Clark | Audiologist | 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 | 2006-01-09 |
| 1851395453 | Stephanie Clark | Chiropractor | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2005-06-10 |
| Street Address |
7601 A GERMANTOWN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
| 1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
| 1447869235 | Artistic Smile LLC | Dentist | 2801 Island Ave Ste 5, Philadelphia, PA 19153-2326 | 2020-07-28 |
| 1619585270 | Dentist Near Me Pllc | Dentist | 1603 South St, Philadelphia, PA 19146-1541 | 2020-07-20 |
| 1073121281 | Olga Stepanchenko | Dentist | 1919 Bowler St, Philadelphia, PA 19115-3211 | 2020-07-14 |
| 1578101630 | Maryam Khalili | Dentist | 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 | 2019-12-19 |
| 1952947152 | Navy Yard Dental Associates, Pllc | Dentist | 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 | 2019-11-22 |
| 1518502632 | Rujuta Shukla | Dentist | 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 | 2019-11-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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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.