Berman, Mark D

Berman, Mark D is an individual health care provider with primary practice located at 777 Bannock St , Denver CO 80204-4507. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berman, Mark D can be contacted via phone (303) 602-7558.

Contact Information

Primary practice address
777 Bannock St Denver CO 80204-4507
Phone: (303) 602-7558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6987 Colorado

Profile Details

NPI number 1174524334
LBN Legal business name Berman, Mark D
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 10th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174524334 NPPES
Colorado MEDICAID 2069870

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