Church, Mark Richard

Church, Mark Richard is an individual health care provider with primary practice located at 4431 68Th Street U S Army Dental Activity, Fort Hood TX 76544. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Church, Mark Richard can be contacted via phone (253) 495-1193.

Contact Information

Primary practice address
4431 68Th Street U S Army Dental Activity Fort Hood TX 76544
Phone: (253) 495-1193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8618 Kentucky
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 60884792 Washington

Profile Details

NPI number 1679733703
LBN Legal business name Church, Mark Richard
Credentials DMD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Dec 4th, 2019 - about 5 years 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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