Von Hendricks, Claudia Gail

Von Hendricks, Claudia Gail is an individual health care provider with primary practice located at Hopi Health Care Center Hwy 264 Mm 388, Polacca AZ 86042. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Von Hendricks, Claudia Gail can be contacted via phone (928) 737-6160.

Contact Information

Primary practice address
Hopi Health Care Center Hwy 264 Mm 388 Polacca AZ 86042
Phone: (928) 737-6160
Fax: (928) 737-6168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DD2013 New Mexico

Profile Details

NPI number 1043348246
LBN Legal business name Von Hendricks, Claudia Gail
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
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 1043348246 NPPES
Arizona MEDICAID 436148

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