Dentz, Mark

Dentz, Mark is an individual health care provider with primary practice located at 110 29Th Ave N Ste 202, Nashville TN 37203-1448. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dentz, Mark can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1448
Phone: (615) 327-4304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 27028 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 27028 Tennessee

Profile Details

NPI number 1003811696
LBN Legal business name Dentz, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003811696 NPPES
Tennessee Other 3065032 BCBS PROVIDER NUMBER
Tennessee MEDICAID 3813113 BCBS PROVIDER NUMBER
Tennessee MEDICAID 7613690 BCBS PROVIDER NUMBER
Tennessee MEDICAID 64926249 BCBS PROVIDER NUMBER
Tennessee MEDICAID 009930405 BCBS PROVIDER NUMBER

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