Clark, Shannon Carol
Clark, Shannon Carol is an individual health care provider with primary practice located at 2002 S Rouse St , Pittsburg KS 66762-6629. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Clark, Shannon Carol can be contacted via phone (620) 231-2871.Contact Information
Primary practice address
2002 S Rouse St
Pittsburg KS 66762-6629
Phone: (620) 231-2871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3142 | Arkansas |
| Dental Providers / Dentist | 122300000X | 2020005163 | Missouri |
| Dental Providers / Dentist | 122300000X | 62065 | Kansas |
Profile Details
| NPI number | 1922273481 |
|---|---|
| LBN Legal business name | Clark, Shannon Carol |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Apr 17th, 2024 - about last year |
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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