Cowan, Mark R
Cowan, Mark R is an individual health care provider with primary practice located at 227 N Talbert Blvd , Lexington NC 27292. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Cowan, Mark R can be contacted via phone (336) 249-2906.Contact Information
Primary practice address
227 N Talbert Blvd
Lexington NC 27292
Phone: (336) 249-2906
Fax: (336) 249-7988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | NC6426 | North Carolina |
Profile Details
| NPI number | 1104045905 |
|---|---|
| LBN Legal business name | Cowan, Mark R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104045905 | NPPES |
| North Carolina | MEDICAID | 9002V |
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