Mcnair, Clarence

Mcnair, Clarence is an individual health care provider with primary practice located at 37944 Church Ave , Dade City FL 33525. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcnair, Clarence can be contacted via phone (352) 518-2000.

Contact Information

Primary practice address
37944 Church Ave Dade City FL 33525
Fax: (352) 567-0218
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN3602 Florida

Profile Details

NPI number 1376516096
LBN Legal business name Mcnair, Clarence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated May 27th, 2008 - about 18 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 1376516096 NPPES
Florida MEDICAID 070410500

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