Clark, Fredric E

Clark, Fredric E is an individual health care provider with primary practice located at 3164 Se 6Th Ave , Topeka KS 66607-2204. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, Fredric E can be contacted via phone (785) 233-2800.

Contact Information

Primary practice address
3164 Se 6Th Ave Topeka KS 66607-2204
Fax: (785) 233-5116
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3897 Kansas

Profile Details

NPI number 1588001135
LBN Legal business name Clark, Fredric E
Credentials DDS,MSD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2013
Last updated May 22nd, 2013 - about 11 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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