Clarke, Kelly Michael

Clarke, Kelly Michael is an individual health care provider with primary practice located at 2700 Grand Ave Suite B, Billings MT 59102-2680. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Clarke, Kelly Michael can be contacted via phone (406) 652-5550.

Contact Information

Primary practice address
2700 Grand Ave Suite B Billings MT 59102-2680
Phone: (406) 652-5550
Fax: (406) 652-0562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 1797-4 Montana

Profile Details

NPI number 1285739409
LBN Legal business name Clarke, Kelly Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285739409 NPPES
Montana MEDICAID 0113815

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