Clark, David Mantell
Clark, David Mantell is an sole proprietor health care provider with primary practice located at 4816 Macmont Cir , Powell TN 37849-4500. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, David Mantell can be contacted via phone (865) 938-8236.Contact Information
Primary practice address
4816 Macmont Cir
Powell TN 37849-4500
Phone: (865) 938-8236
Fax: (865) 689-4080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DS 2097 | Tennessee |
Profile Details
| NPI number | 1689764805 |
|---|---|
| LBN Legal business name | Clark, David Mantell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Dec 20th, 2009 - about 16 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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