Clark, Matthew Mitchell
Clark, Matthew Mitchell is an individual health care provider with primary practice located at 716 Denbigh Blvd Ste C1 , Newport News VA 23608-4414. 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 Mitchell can be contacted via phone (757) 874-6501.Contact Information
Primary practice address
716 Denbigh Blvd Ste C1
Newport News VA 23608-4414
Phone: (757) 874-6501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10945 | Tennessee |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0401417451 | Virginia |
Profile Details
| NPI number | 1033578653 |
|---|---|
| LBN Legal business name | Clark, Matthew Mitchell |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2016 |
| Last updated | Aug 27th, 2021 - 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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