Clover, Jeremy Mac

Clover, Jeremy Mac is an individual health care provider with primary practice located at 677 Vt Route 7A , Shaftsbury VT 05262-9548. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Clover, Jeremy Mac can be contacted via phone (802) 442-7300.

Contact Information

Primary practice address
677 Vt Route 7A Shaftsbury VT 05262-9548
Phone: (802) 442-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 016.0111405 Vermont
Dental Providers / General Practice 1223G0001X 016.0111405 Vermont

Profile Details

NPI number 1275912115
LBN Legal business name Clover, Jeremy Mac
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2015
Last updated Jun 8th, 2015 - about 11 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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