Clark, Tina Marie

Clark, Tina Marie is an individual health care provider with primary practice located at 1539 Jackson St , Portsmouth OH 45662-4480. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Clark, Tina Marie can be contacted via phone (740) 981-6276.

Contact Information

Primary practice address
1539 Jackson St Portsmouth OH 45662-4480
Phone: (740) 981-6276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 51.015003 Ohio

Profile Details

NPI number 1790460814
LBN Legal business name Clark, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2023
Last updated Jun 16th, 2023 - about 2 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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