Clancy, Myles Richard

Clancy, Myles Richard is an sole proprietor health care provider with primary practice located at 209 Harvard St , Brookline MA 02446-5071. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is his primary health care specialty. Clancy, Myles Richard can be contacted via phone (617) 731-5437.

Contact Information

Primary practice address
209 Harvard St Brookline MA 02446-5071
Phone: (617) 731-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN1857946 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1922456276
LBN Legal business name Clancy, Myles Richard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2016
Last updated Sep 12th, 2018 - 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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