Dahleen, Robert Clark

Dahleen, Robert Clark is an individual health care provider with primary practice located at 217 Nassau St , Saint Peter MN 56082-2055. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dahleen, Robert Clark can be contacted via phone (507) 931-5646.

Contact Information

Primary practice address
217 Nassau St Saint Peter MN 56082-2055
Phone: (507) 931-5646
Fax: (507) 934-0148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7531 Minnesota

Profile Details

NPI number 1306923164
LBN Legal business name Dahleen, Robert Clark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 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 1306923164 NPPES
Minnesota Other 33062DA BCBS MEDICAL ID NUMBER

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