Comeaux, Clark Michael
Comeaux, Clark Michael is an individual health care provider with primary practice located at Bldg 38717 38Th Street, Usa Dentac,, Fort Gordon GA 30905-5660. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Comeaux, Clark Michael can be contacted via phone (706) 787-1070.Contact Information
Primary practice address
Bldg 38717 38Th Street, Usa Dentac,
Fort Gordon GA 30905-5660
Phone: (706) 787-1070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3666 | Louisiana |
Profile Details
| NPI number | 1861452757 |
|---|---|
| LBN Legal business name | Comeaux, Clark Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | May 12th, 2015 - about 9 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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