Clayton, Mark C

Clayton, Mark C is an individual health care provider with primary practice located at 4540 E Oglethorpe Hwy Suite A, Hinesville GA 31313-1431. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clayton, Mark C can be contacted via phone (912) 369-3692.

Contact Information

Primary practice address
4540 E Oglethorpe Hwy Suite A Hinesville GA 31313-1431
Phone: (912) 369-3692
Fax: (912) 369-3938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 011978 Georgia

Profile Details

NPI number 1770552549
LBN Legal business name Clayton, Mark C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 24th, 2011 - about 13 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 1770552549 NPPES
Georgia MEDICAID 00933567A
Georgia Other 1352952

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