Clark, Ashley Nicole
Clark, Ashley Nicole is an individual health care provider with primary practice located at 9292 N Meridian St Ste 210 , Indianapolis IN 46260-1828. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Pathology is her primary health care specialty. Clark, Ashley Nicole can be contacted via phone (317) 843-2204.Contact Information
Primary practice address
9292 N Meridian St Ste 210
Indianapolis IN 46260-1828
Phone: (317) 843-2204
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 10417 | Kentucky |
Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 10417 | Kentucky |
Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 12011677A | Indiana |
Profile Details
NPI number | 1215225305 |
---|---|
LBN Legal business name | Clark, Ashley Nicole |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2011 |
Last updated | Apr 12th, 2023 - about 2 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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