Individual
JAY L ARLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
109 N FRONT ST, CLEARFIELD, PA 16830
(814) 765-3533
Mailing address
109 N FRONT ST, CLEARFIELD, PA 16830
(814) 765-3533
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS026572L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014240750001
—
PA
01
—
178506
BLUE SHIELD
—
Enumeration date
03/28/2006
Last updated
07/30/2012
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