Clark, David Stephen
Clark, David Stephen is an individual health care provider with primary practice located at 2909 Azalea Park Dr , Muskogee OK 74401-2283. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, David Stephen can be contacted via phone (918) 682-0544.Contact Information
Primary practice address
2909 Azalea Park Dr
Muskogee OK 74401-2283
Phone: (918) 682-0544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6977 | Oklahoma |
Profile Details
| NPI number | 1053832907 |
|---|---|
| LBN Legal business name | Clark, David Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2017 |
| Last updated | Jun 16th, 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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