Jeffrey, William Clinton

Jeffrey, William Clinton is an individual health care provider with primary practice located at 2165 Cunningham Dr , Hampton VA 23666-2569. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jeffrey, William Clinton can be contacted via phone (757) 827-5665.

Contact Information

Primary practice address
2165 Cunningham Dr Hampton VA 23666-2569
Phone: (757) 827-5665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410953 Virginia

Profile Details

NPI number 1285681635
LBN Legal business name Jeffrey, William Clinton
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Mar 5th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285681635 NPPES
Virginia Other 0401410953 STATE LICENSE
Virginia Other 8555 STATE LICENSE

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