Clark, Brent Gilford
Clark, Brent Gilford is an sole proprietor health care provider with primary practice located at Us 23 Hayes Complex , Betsy Layne KY 41605-0001. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Clark, Brent Gilford can be contacted via phone (606) 478-9090.Contact Information
Primary practice address
Us 23 Hayes Complex
Betsy Layne KY 41605-0001
Phone: (606) 478-9090
Fax: (606) 478-9191
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 4980 | Kentucky |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4980 | Kentucky |
Profile Details
NPI number | 1508906751 |
---|---|
LBN Legal business name | Clark, Brent Gilford |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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