Clark, Paul Derald
Clark, Paul Derald is an individual health care provider with primary practice located at 5913 Virginia Pkwy Ste 400 , Mckinney TX 75071-5627. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, Paul Derald can be contacted via phone (972) 547-0202.Contact Information
Primary practice address
5913 Virginia Pkwy Ste 400
Mckinney TX 75071-5627
Phone: (972) 547-0202
Fax: (972) 547-0212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D7207 | Arizona |
| Dental Providers / Endodontics | 1223E0200X | 29523 | Texas |
Profile Details
| NPI number | 1043426943 |
|---|---|
| LBN Legal business name | Clark, Paul Derald |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jan 15th, 2021 - about 4 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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