Blake, Clinton Larry
Blake, Clinton Larry is an individual health care provider with primary practice located at 831 Siena Springs Dr. , Norman OK 73071. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blake, Clinton Larry can be contacted via phone (405) 392-4883.Contact Information
Primary practice address
831 Siena Springs Dr.
Norman OK 73071
Phone: (405) 392-4883
Fax: (405) 392-4889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4950075-9922 | Utah |
| Dental Providers / General Practice | 1223G0001X | 6330 | Oklahoma |
Profile Details
| NPI number | 1649328782 |
|---|---|
| LBN Legal business name | Blake, Clinton Larry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Sep 20th, 2011 - about 14 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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