Clarke, Jerry Carl

Clarke, Jerry Carl is an sole proprietor health care provider with primary practice located at 2490 Pruden Blvd , Suffolk VA 23434-4206. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Clarke, Jerry Carl can be contacted via phone (757) 539-9398.

Contact Information

Primary practice address
2490 Pruden Blvd Suffolk VA 23434-4206
Phone: (757) 539-9398
Fax: (757) 539-9492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3823 Virginia

Profile Details

NPI number 1356567010
LBN Legal business name Clarke, Jerry Carl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 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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