Clark, Matthew
Clark, Matthew is an individual health care provider with primary practice located at 55 W Red Oak Ln , W Harrison NY 10604-3608. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, Matthew can be contacted via phone (914) 500-8985.Contact Information
Primary practice address
55 W Red Oak Ln
W Harrison NY 10604-3608
Phone: (914) 500-8985
Fax: (914) 500-8986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 057328 | New York |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 11099 | Connecticut |
Profile Details
| NPI number | 1396905188 |
|---|---|
| LBN Legal business name | Clark, Matthew |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2008 |
| Last updated | Mar 2nd, 2022 - 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.
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