Clark, S. William

Clark, S. William is an individual health care provider with primary practice located at 1100 N Lynndale Dr , Appleton WI 54914-3011. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, S. William can be contacted via phone (920) 731-4484.

Contact Information

Primary practice address
1100 N Lynndale Dr Appleton WI 54914-3011
Fax: (920) 731-2889
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2928 Wisconsin

Profile Details

NPI number 1720297039
LBN Legal business name Clark, S. William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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