Koen, Clint Dawson

Koen, Clint Dawson is an individual health care provider with primary practice located at 2700 Allyson Ln , Conway AR 72034-6281. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Koen, Clint Dawson can be contacted via phone (501) 730-0375.

Contact Information

Primary practice address
2700 Allyson Ln Conway AR 72034-6281
Phone: (501) 730-0375
Fax: (501) 730-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3587 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 3587 Arkansas

Profile Details

NPI number 1629143789
LBN Legal business name Koen, Clint Dawson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jun 26th, 2014 - about 12 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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