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Clark D Andelin

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

3400 Spruce St
Philadelphia , Pennsylvania 19104-4206

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Clark D Andelin

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

3400 Spruce St
Philadelphia , Pennsylvania 19104-4206

(215) 662-6176

Write a Review Save Call

Clark D Andelin

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

3400 Spruce St
Philadelphia , Pennsylvania 19104-4206

(215) 662-6176 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

3400 Spruce St Philadelphia , Pennsylvania 19104-4206

First Address

  • Clark D Andelin
  • 3400 Spruce St
  • Philadelphia, PA
  • Zip : 19104-4206
  • Phone : (215) 662-6176

Second Address

  • Clark D Andelin
  • 3400 Spruce St
  • Philadelphia, PA
  • Zip : 19104-4206
  • Phone : (215) 662-6176

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FAQs


Where did Clark D Andelin attend graduate school?

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Where did Clark D Andelin do his residency?

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Where did Clark D Andelin do his fellowship?

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Is Clark D Andelin board certified?

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What type of doctor is Clark D Andelin

Oral and Maxillofacial Surgeon

In what state does Clark D Andelin practice in?

Pennsylvania

Where is Clark D Andelin ’s practice located?

3400 Spruce St , Philadelphia, Pennsylvania, 19104-4206

What is Clark D Andelin ’s gender?

Male

Is Clark D Andelin a sole practitioner?

No

Is Clark D Andelin accepting new patients?

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What languages does Clark D Andelin speak?

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Does Clark D Andelin accept insurance?

Yes, Clark D Andelin accepts insurance

Does Clark D Andelin offers telemedicine?

Clark D Andelin has not indicated if he offers telemedicine

What is Clark D Andelin ’s professional license number?

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What is Clark D Andelin ’s NPI number?

1043538705

Does Clark D Andelin have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223S0112X Oral and Maxillofacial Surgeon 016.0125577 VT
Y 1223S0112X Oral and Maxillofacial Surgeon DS038552 PA
N 204E00000X Oral & Maxillofacial Surgeon MT207339 PA

National Provider Identifier

NPI 1043538705
Provider Name Clark D Andelin
First Address Philadelphia, PA 19104-4206
Second Address Philadelphia, PA 19104-4206
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 05/05/2010
Last Update Date 20/01/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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