Dean, Clarence

Dean, Clarence is an individual health care provider with primary practice located at 222 Innisbrooke Ave , Greenwood IN 46142-9209. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dean, Clarence can be contacted via phone (317) 889-1578.

Contact Information

Primary practice address
222 Innisbrooke Ave Greenwood IN 46142-9209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12007193 Indiana

Profile Details

NPI number 1174605901
LBN Legal business name Dean, Clarence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 6th, 2009 - about 15 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 1174605901 NPPES
Indiana MEDICAID 12007193A

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