Clark, Dennis Mark
Clark, Dennis Mark is an individual health care provider with primary practice located at 1500 19Th St S Suite 200, Birmingham AL 35205-5628. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, Dennis Mark can be contacted via phone (205) 933-2773.Contact Information
Primary practice address
1500 19Th St S Suite 200
Birmingham AL 35205-5628
Phone: (205) 933-2773
Fax: (205) 933-5147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3236 | Alabama |
Profile Details
| NPI number | 1649255720 |
|---|---|
| LBN Legal business name | Clark, Dennis Mark |
| Credentials | D.M.D., M.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| 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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