Clark, David John
Clark, David John is an individual health care provider with primary practice located at 211 West Main Street , Marshalltown IA 50158. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, David John can be contacted via phone (641) 752-3651.Contact Information
Primary practice address
211 West Main Street
Marshalltown IA 50158
Phone: (641) 752-3651
Fax: (641) 752-3653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 06823 | Iowa |
Profile Details
| NPI number | 1831103308 |
|---|---|
| LBN Legal business name | Clark, David John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831103308 | NPPES |
| Iowa | MEDICAID | 0207472 |
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