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Contact Information

CHARLES C CLAUSEN, DDS
13055 W MCDOWELL RD
G103
AVONDALE, AZ85392
 Phone: 623-848-0100
 Fax: 623-848-3516
 Website: https://www.charlesclausendds.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHARLES C CLAUSEN · (Male)

NPI Number 1164596250
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 3245
  • Other 609902 UNITED CONCORDIA PROVIDER
  • AZ Other 3245 STATE LICENSE
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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