Clifton, Gene A.
Clifton, Gene A. is an individual health care provider with primary practice located at 908 N Fountain Ave , Springfield OH 45504-2226. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clifton, Gene A. can be contacted via phone (937) 325-9213.Contact Information
Primary practice address
908 N Fountain Ave
Springfield OH 45504-2226
Phone: (937) 325-9213
Fax: (937) 323-0621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12194 | Ohio |
Profile Details
| NPI number | 1245373661 |
|---|---|
| LBN Legal business name | Clifton, Gene A. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245373661 | NPPES |
| Ohio | MEDICAID | 0202480 |
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