Grilliot, Clark W

Grilliot, Clark W is an sole proprietor health care provider with primary practice located at 215 N 6Th St , Mcalester OK 74501-4737. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grilliot, Clark W can be contacted via phone (918) 423-0200.

Contact Information

Primary practice address
215 N 6Th St Mcalester OK 74501-4737
Fax: (918) 423-6940
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6390 Oklahoma

Profile Details

NPI number 1215298567
LBN Legal business name Grilliot, Clark W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2012
Last updated Jun 4th, 2012 - about 12 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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