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Contact Information

CLIFTON G ROAF & MARVIN Q CAUDLE
1310 SOUTH LINDEN STREET
PINE BLUFF, AR71603
 Phone: 870-536-4602
 Fax: 870-536-8604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CLIFTON G ROAF MARVIN Q CAUDLE · (Female)

NPI # 1457645863
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2011
Last updated 06/07/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # AR1961
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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