Clark, Katherine

Clark, Katherine is an individual health care provider with primary practice located at 7830 Rockville Rd Ste A , Indianapolis IN 46214-3130. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Clark, Katherine can be contacted via phone (317) 271-9727.

Contact Information

Primary practice address
7830 Rockville Rd Ste A Indianapolis IN 46214-3130
Phone: (317) 271-9727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 12013414A Indiana

Profile Details

NPI number 1851918783
LBN Legal business name Clark, Katherine
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2020
Last updated Oct 18th, 2022 - about 3 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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