Clark, Jay Allen

Clark, Jay Allen is an individual health care provider with primary practice located at 7104 Chicago Ave , Richfield MN 55423-3301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clark, Jay Allen can be contacted via phone (612) 869-3239.

Contact Information

Primary practice address
7104 Chicago Ave Richfield MN 55423-3301
Phone: (612) 869-3239
Fax: (612) 866-7011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10110 Minnesota

Profile Details

NPI number 1669488904
LBN Legal business name Clark, Jay Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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