Waggoner, Clyde E

Waggoner, Clyde E is an individual health care provider with primary practice located at 3955 E Exposition Ave Suite 520, Denver CO 80209-5000. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Waggoner, Clyde E can be contacted via phone (303) 777-1603.

Contact Information

Primary practice address
3955 E Exposition Ave Suite 520 Denver CO 80209-5000
Phone: (303) 777-1603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7506 Colorado

Profile Details

NPI number 1881757854
LBN Legal business name Waggoner, Clyde E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 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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