DR. STEPHEN JETER CLARK DMD NPI 1386747400

NPI Information

  • NPI: 1386747400
  • Provider Name: DR. STEPHEN JETER CLARK, DMD
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
    501 S. PRESTON ST.
    LOUISVILLE, KY
    ZIP 40292
  • Phone: (502) 852-5128

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NPI Details

DR. Stephen Jeter Clark, DMD is an endodontics dentist in Louisville, KY. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Stephen Jeter Clark, DMD NPI is 1386747400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
501 S. PRESTON ST.
LOUISVILLE, KY
ZIP 40292-001
Phone: (502) 852-5128
Fax: (502) 852-7163

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics4107KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
160041076MEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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