Clark, Fredrick Douglass
Clark, Fredrick Douglass is an individual health care provider with primary practice located at 6188 Oxon Hill Rd Suite 703, Oxon Hill MD 20745. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clark, Fredrick Douglass can be contacted via phone (301) 567-9372.Contact Information
Primary practice address
6188 Oxon Hill Rd Suite 703
Oxon Hill MD 20745
Phone: (301) 567-9372
Fax: (301) 567-9362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10125 | Maryland |
Profile Details
| NPI number | 1417067281 |
|---|---|
| LBN Legal business name | Clark, Fredrick Douglass |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 28th, 2018 - about 8 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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