Clark, Katherine Elizabeth

Clark, Katherine Elizabeth is an individual health care provider with primary practice located at 130 Ben Casey Dr Suite 105, Fort Mill SC 29708-6567. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is her primary health care specialty. Clark, Katherine Elizabeth can be contacted via phone (803) 547-8200.

Contact Information

Primary practice address
130 Ben Casey Dr Suite 105 Fort Mill SC 29708-6567
Phone: (803) 547-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4123 South Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 9012 North Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 4123 South Carolina

Profile Details

NPI number 1194749978
LBN Legal business name Clark, Katherine Elizabeth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 10th, 2012 - about 12 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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