Clark, Matthew Mitchell

Clark, Matthew Mitchell is an individual health care provider with primary practice located at 716 Denbigh Blvd Ste C1 , Newport News VA 23608-4414. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, Matthew Mitchell can be contacted via phone (757) 874-6501.

Contact Information

Primary practice address
716 Denbigh Blvd Ste C1 Newport News VA 23608-4414
Phone: (757) 874-6501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10945 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401417451 Virginia

Profile Details

NPI number 1033578653
LBN Legal business name Clark, Matthew Mitchell
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2016
Last updated Feb 2nd, 2025 - about last year

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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