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Contact Information

COLLIN R CLATANOFF, DDS
5050 N 40TH ST STE 160
PHOENIX, AZ85018
 Phone: 602-892-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for COLLIN R CLATANOFF · (Male)

NPI # 1033425863
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/31/2010
Last updated 06/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 7725537-9921
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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