Clark, Andrew M.
Clark, Andrew M. is an individual health care provider with primary practice located at 6800 Main St Suite 315, Downers Grove IL 60516-3493. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Clark, Andrew M. can be contacted via phone (630) 969-5350.Contact Information
Primary practice address
6800 Main St Suite 315
Downers Grove IL 60516-3493
Phone: (630) 969-5350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 019.026383 | Illinois |
Profile Details
| NPI number | 1659479467 |
|---|---|
| LBN Legal business name | Clark, Andrew M. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 6th, 2021 - about 3 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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