Fullmer, Mark Crandall
Fullmer, Mark Crandall is an sole proprietor health care provider with primary practice located at 225 East 400 South , Springville UT 84663. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fullmer, Mark Crandall can be contacted via phone (801) 489-3611.Contact Information
Primary practice address
225 East 400 South
Springville UT 84663
Phone: (801) 489-3611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 143367-9921 | Utah |
Profile Details
| NPI number | 1568684470 |
|---|---|
| LBN Legal business name | Fullmer, Mark Crandall |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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