Clark, Michael Edward

Clark, Michael Edward is an individual health care provider with primary practice located at 403 E Mckay St , Frontenac KS 66763-2244. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clark, Michael Edward can be contacted via phone (620) 231-1992.

Contact Information

Primary practice address
403 E Mckay St Frontenac KS 66763-2244
Phone: (620) 231-1992
Fax: (620) 231-1525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6842 Kansas

Profile Details

NPI number 1891724126
LBN Legal business name Clark, Michael Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 18 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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