Clinton, Kenan David

Clinton, Kenan David is an sole proprietor health care provider with primary practice located at 6401 Poplar Ave Suite 260, Memphis TN 38119-4823. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clinton, Kenan David can be contacted via phone (901) 682-8847.

Contact Information

Primary practice address
6401 Poplar Ave Suite 260 Memphis TN 38119-4823
Phone: (901) 682-8847
Fax: (901) 682-8891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 8189 Tennessee

Profile Details

NPI number 1952306425
LBN Legal business name Clinton, Kenan David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 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.

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