Clark, Tony D

Clark, Tony D is an sole proprietor health care provider with primary practice located at 526 Mary Esther Cut Off Nw , Fort Walton Beach FL 32548-4025. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, Tony D can be contacted via phone (850) 244-3511.

Contact Information

Primary practice address
526 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4025
Phone: (850) 244-3511
Fax: (850) 664-0858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Florida

Profile Details

NPI number 1992874010
LBN Legal business name Clark, Tony D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 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.

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