Clothier, Evan Dale

Clothier, Evan Dale is an individual health care provider with primary practice located at 300 N Aspen Ave , Broken Arrow OK 74012-2205. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clothier, Evan Dale can be contacted via phone (918) 251-3333.

Contact Information

Primary practice address
300 N Aspen Ave Broken Arrow OK 74012-2205
Phone: (918) 251-3333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7162 Kansas
Dental Providers / General Practice 1223G0001X 5817 Oklahoma

Profile Details

NPI number 1043261753
LBN Legal business name Clothier, Evan Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 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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