Clark, Joann
Clark, Joann is an sole proprietor health care provider with primary practice located at 2214 Executive Dr Suite A, Hampton VA 23666-6606. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Clark, Joann can be contacted via phone (757) 838-9486.Contact Information
Primary practice address
2214 Executive Dr Suite A
Hampton VA 23666-6606
Phone: (757) 838-9486
Fax: (757) 838-5542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401005935 | Virginia |
Profile Details
| NPI number | 1083777445 |
|---|---|
| LBN Legal business name | Clark, Joann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 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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