Peterson, Alan Clark
Peterson, Alan Clark is an sole proprietor health care provider with primary practice located at 601 Mcdonough Blvd Se , Atlanta GA 30315-4400. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Peterson, Alan Clark can be contacted via phone (404) 635-5462.Contact Information
Primary practice address
601 Mcdonough Blvd Se
Atlanta GA 30315-4400
Phone: (404) 635-5462
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 015796 | Missouri |
Profile Details
| NPI number | 1174975429 |
|---|---|
| LBN Legal business name | Peterson, Alan Clark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Jul 11th, 2016 - about 8 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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