Stephen B Clark, DDS,MS
Dentist in Farmington, NM. Individual provider (NPI-1).
NPI number1487644183
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1487644183
- Entity type
- Individual (NPI-1)
- Name
- Stephen B Clark
- Credential
- DDS,MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2005
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DD871 | NM | Yes |
Practice location
701 N Dustin AveFarmington, NM 87401-6101
Phone 505-327-4495 · Fax 505-325-9125
Mailing address
701 N Dustin AveFarmington, NM 87401-6101
Phone 505-327-4495 · Fax 505-325-9125
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Farmington, NM
- Jordan S Arnell, DMDNPI 1801201017
- Jeff Blomstedt, DDSNPI 1992155568
- Eric Gordon Bruce, DDSNPI 1992765671
- Clarissa BurgessNPI 1326350356
- James R. Cole, D.D.S.NPI 1548376270
- Jacob Shonota CollinsNPI 1528648045
- Joshua Michael Connolly, DDSNPI 1972679975
- Dr David Herman'S Four Corners Dental, LLCNPI 1558790378
- Dr David J Herman'S Four Corners Dental, LLCNPI 1255753976
- Dr. Jack Smalley D.D.S.NPI 1073844221
All 42 Dentist providers in Farmington · All 2,079 providers in Farmington
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.