Brodal, Clint Ole

Brodal, Clint Ole is an individual health care provider with primary practice located at 121 Parliament Dr , Maryville TN 37804-6210. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Brodal, Clint Ole can be contacted via phone (865) 977-8700.

Contact Information

Primary practice address
121 Parliament Dr Maryville TN 37804-6210
Phone: (865) 977-8700
Fax: (865) 977-5464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D9259 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X D9259 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X 10289 Tennessee

Profile Details

NPI number 1720235781
LBN Legal business name Brodal, Clint Ole
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Jul 8th, 2016 - about 9 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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