Clifford, Eugene M
Clifford, Eugene M is an individual health care provider with primary practice located at 123 Elm St Suite 900, Old Saybrook CT 06475-4108. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clifford, Eugene M can be contacted via phone (860) 388-0242.Contact Information
Primary practice address
123 Elm St Suite 900
Old Saybrook CT 06475-4108
Phone: (860) 388-0242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4263 | Connecticut |
Profile Details
| NPI number | 1356367510 |
|---|---|
| LBN Legal business name | Clifford, Eugene M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356367510 | NPPES |
| Connecticut | Other | 4263 | LICENSE NUMBER |
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