Clark, Thomas
Clark, Thomas is an sole proprietor health care provider with primary practice located at 29292 Sw Town Center Loop E , Wilsonville OR 97070-9491. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, Thomas can be contacted via phone (506) 682-0431.Contact Information
Primary practice address
29292 Sw Town Center Loop E
Wilsonville OR 97070-9491
Phone: (506) 682-0431
Fax: (503) 682-3873
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D9460 | Oregon |
Profile Details
NPI number | 1225341415 |
---|---|
LBN Legal business name | Clark, Thomas |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 16th, 2010 |
Last updated | Dec 17th, 2013 - about 12 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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