| Stephen B Clark, DDS,MS | |
|
701 N Dustin Ave, Farmington, NM 87401-6101 | |
| (505) 327-4495 | |
| (505) 325-9125 |
| Full Name | Stephen B Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 701 N Dustin Ave, Farmington, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487644183 | NPI | - | NPPES |
| 0006258 | Medicaid | NM | |
| 00081208 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD871 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen B Clark, DDS,MS 701 N Dustin Ave, Farmington, NM 87401-6101 Ph: (505) 327-4495 | Stephen B Clark, DDS,MS 701 N Dustin Ave, Farmington, NM 87401-6101 Ph: (505) 327-4495 |
Peter John Debuck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3501 N Butler Ave, Farmington, NM 87401 Phone: 505-918-1531 | |
Justin Ewell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3501 N Butler Ave, Suite 104, Farmington, NM 87401 Phone: 505-564-4470 Fax: 505-325-9707 | |
Dr. Van C Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 114 W Apache St, Farmington, NM 87401 Phone: 505-326-2243 Fax: 505-326-3527 | |
Dr. Derek Edward Owens, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 E Main St Ste T1, Farmington, NM 87402 Phone: 505-325-4867 | |
Rachel Lynn Mankowitz, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6588 E Main St, Farmington, NM 87402 Phone: 505-326-6800 | |
Dr. David Jay Herman, D.D.S., M.S., M.P.H Dentist Medicare: Not Enrolled in Medicare Practice Location: 3751 N Butler Ave, Suite 113, Farmington, NM 87401 Phone: 505-564-9000 Fax: 505-564-9100 | |
Dr. Christian Reed Anderson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6588 E Main St, Farmington, NM 87402 Phone: 503-326-6800 |