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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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