Elice, Mark William
Elice, Mark William is an individual health care provider with primary practice located at 3223 N Broad St , Philadelphia PA 19140-5007. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Elice, Mark William can be contacted via phone (215) 707-2890.Contact Information
Primary practice address
3223 N Broad St
Philadelphia PA 19140-5007
Phone: (215) 707-2890
Fax: (215) 707-5885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D15810 | New Jersey |
| Dental Providers / Dentist | 122300000X | DS043035 | Pennsylvania |
Profile Details
| NPI number | 1013999077 |
|---|---|
| LBN Legal business name | Elice, Mark William |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Feb 24th, 2023 - about last year |
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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