Andelin, Clark D

Andelin, Clark D is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Andelin, Clark D can be contacted via phone (215) 662-6176.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104-4206
Phone: (215) 662-6176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MT207339 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS038552 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 016.0125577 Vermont

Profile Details

NPI number 1043538705
LBN Legal business name Andelin, Clark D
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2010
Last updated Jan 20th, 2017 - about 7 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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