Clark, Heather Elise

Clark, Heather Elise is an individual health care provider with primary practice located at 1331 Village Dr , Saint Joseph MO 64506-2457. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Clark, Heather Elise can be contacted via phone (816) 232-1444.

Contact Information

Primary practice address
1331 Village Dr Saint Joseph MO 64506-2457
Phone: (816) 232-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2007014394 Missouri

Profile Details

NPI number 1609043587
LBN Legal business name Clark, Heather Elise
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2008
Last updated Feb 23rd, 2016 - about 9 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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