Clouse, Duane Cardon
Clouse, Duane Cardon is an sole proprietor health care provider with primary practice located at 21300 N John Wayne Pkwy Ste 117 , Maricopa AZ 85139-8978. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Clouse, Duane Cardon can be contacted via phone (480) 272-3374.Contact Information
Primary practice address
21300 N John Wayne Pkwy Ste 117
Maricopa AZ 85139-8978
Phone: (480) 272-3374
Fax: (520) 316-6264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4230 | Arizona |
Profile Details
| NPI number | 1861484388 |
|---|---|
| LBN Legal business name | Clouse, Duane Cardon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1861484388 | NPPES |
| Arizona | MEDICAID | 115073 |
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