Clark, Richard Joseph

Clark, Richard Joseph is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Clark, Richard Joseph can be contacted via phone (215) 427-5000.

Contact Information

Primary practice address
160 E Erie Ave Philadelphia PA 19134-1011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS040412 Pennsylvania

Profile Details

NPI number 1760820088
LBN Legal business name Clark, Richard Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2013
Last updated Nov 17th, 2015 - about 10 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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