Walters, Clifford G.
Walters, Clifford G. is an individual health care provider with primary practice located at 122 Chelmsford St Great Hill Dental Partners Llc, Chelmsford MA 01824-2732. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Walters, Clifford G. can be contacted via phone (978) 244-0629.Contact Information
Primary practice address
122 Chelmsford St Great Hill Dental Partners Llc
Chelmsford MA 01824-2732
Phone: (978) 244-0629
Fax: (978) 244-0521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15547 | Massachusetts |
Profile Details
| NPI number | 1578532784 |
|---|---|
| LBN Legal business name | Walters, Clifford G. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 24th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578532784 | NPPES |
| Massachusetts | Other | PH162 | HARVARD PILGRIM |
| Massachusetts | Other | X05754 | HARVARD PILGRIM |
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