Addison, Clarence
Addison, Clarence is an sole proprietor health care provider with primary practice located at 4045 Orchard Rd Se Ste 300 , Smyrna GA 30080-4900. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Addison, Clarence can be contacted via phone (770) 433-0445.Contact Information
Primary practice address
4045 Orchard Rd Se Ste 300
Smyrna GA 30080-4900
Phone: (770) 433-0445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10977 | Georgia |
Profile Details
| NPI number | 1194902957 |
|---|---|
| LBN Legal business name | Addison, Clarence |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Jan 23rd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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