Clark, Larkin Lee
Clark, Larkin Lee is an sole proprietor health care provider with primary practice located at 3071 Kirby Whitten Rd , Bartlett TN 38134-2822. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Clark, Larkin Lee can be contacted via phone (901) 382-1564.Contact Information
Primary practice address
3071 Kirby Whitten Rd
Bartlett TN 38134-2822
Phone: (901) 382-1564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 9225 | Tennessee |
Profile Details
| NPI number | 1699903310 |
|---|---|
| LBN Legal business name | Clark, Larkin Lee |
| Credentials | D.D.S., M.D.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Oct 17th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699903310 | NPPES |
| Arkansas | MEDICAID | 178297608 |
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