Clark, Dennis Willard
Clark, Dennis Willard is an individual health care provider with primary practice located at 90 Market St Suite 80, Lebanon OR 97355-2394. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, Dennis Willard can be contacted via phone (541) 451-1440.Contact Information
Primary practice address
90 Market St Suite 80
Lebanon OR 97355-2394
Phone: (541) 451-1440
Fax: (541) 451-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D5507 | Oregon |
Profile Details
| NPI number | 1427057157 |
|---|---|
| LBN Legal business name | Clark, Dennis Willard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 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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