Clark D Andelin
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3400 Spruce St
Philadelphia
, Pennsylvania 19104-4206
Clark D Andelin
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3400 Spruce St
Philadelphia
, Pennsylvania 19104-4206
(215) 662-6176
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
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
Reviews
FAQs
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Is Clark D Andelin board certified?
What type of doctor is Clark D Andelin
In what state does Clark D Andelin practice in?
Where is Clark D Andelin ’s practice located?
What is Clark D Andelin ’s gender?
Is Clark D Andelin a sole practitioner?
Is Clark D Andelin accepting new patients?
What languages does Clark D Andelin speak?
Does Clark D Andelin accept insurance?
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.