Domark, Jeffrey D

Domark, Jeffrey D is an sole proprietor health care provider with primary practice located at 1550 Tomcat Blvd Suite 150, Virginia Beach VA 23460-2188. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Dentist is his primary health care specialty. Domark, Jeffrey D can be contacted via phone (757) 953-3926.

Contact Information

Primary practice address
1550 Tomcat Blvd Suite 150 Virginia Beach VA 23460-2188
Phone: (757) 953-3926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-026178 Illinois
Dental Providers / Endodontics 1223E0200X 0401413366 Virginia
Dental Providers / Dentist 122300000X 2010010741 Missouri

Profile Details

NPI number 1336119528
LBN Legal business name Domark, Jeffrey D
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Dec 9th, 2011 - about 14 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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