Clemens, Mark Alan

Clemens, Mark Alan is an sole proprietor health care provider with primary practice located at 502 Shawnee St , Leavenworth KS 66048-1957. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clemens, Mark Alan can be contacted via phone (913) 651-2115.

Contact Information

Primary practice address
502 Shawnee St Leavenworth KS 66048-1957
Phone: (913) 651-2115
Fax: (913) 682-1218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6921 Kansas

Profile Details

NPI number 1013019694
LBN Legal business name Clemens, Mark Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 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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