Fiss, Mark R
Fiss, Mark R is an individual health care provider with primary practice located at 4901 Limestone Rd , Wilmington DE 19808-1271. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fiss, Mark R can be contacted via phone (302) 239-4600.Contact Information
Primary practice address
4901 Limestone Rd
Wilmington DE 19808-1271
Phone: (302) 239-4600
Fax: (302) 239-9951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | G10001167 | Delaware |
Profile Details
| NPI number | 1508981309 |
|---|---|
| LBN Legal business name | Fiss, Mark R |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 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 | 1508981309 | NPPES |
| Delaware | MEDICAID | 17695 |
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