Clifton, Jeffrey Allen

Clifton, Jeffrey Allen is an individual health care provider with primary practice located at 770 Piney Forest Rd , Danville VA 24540-2859. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clifton, Jeffrey Allen can be contacted via phone (434) 799-8825.

Contact Information

Primary practice address
770 Piney Forest Rd Danville VA 24540-2859
Phone: (434) 799-8825
Fax: (434) 799-9458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Virginia

Profile Details

NPI number 1619976172
LBN Legal business name Clifton, Jeffrey Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619976172 NPPES
Virginia Other 463686 BCBS
Virginia MEDICAID 0007805098 BCBS
Virginia Other 014298 BCBS
Virginia Other 923 08646CLI BCBS

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