Clifford, John Robert

Clifford, John Robert is an individual health care provider with primary practice located at 413 N 17Th Ave , Wausau WI 54401-4226. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Clifford, John Robert can be contacted via phone (715) 842-4649.

Contact Information

Primary practice address
413 N 17Th Ave Wausau WI 54401-4226
Phone: (715) 842-4649
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 1002225-15 Wisconsin

Profile Details

NPI number 1548751043
LBN Legal business name Clifford, John Robert
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated Jul 1st, 2020 - about 5 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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