Cleverly, David Grant
Cleverly, David Grant is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Cleverly, David Grant can be contacted via phone (608) 782-7300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6638 | Nebraska |
| Dental Providers / Dentist | 122300000X | 6217-005 | Wisconsin |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6217 | Wisconsin |
Profile Details
| NPI number | 1841470994 |
|---|---|
| LBN Legal business name | Cleverly, David Grant |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2007 |
| Last updated | Apr 24th, 2014 - about 10 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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