Gaponiuk, Mark
Gaponiuk, Mark is an individual health care provider with primary practice located at 1545 9Th St Sw , Vero Beach FL 32962-4312. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gaponiuk, Mark can be contacted via phone (772) 257-8224.Contact Information
Primary practice address
1545 9Th St Sw
Vero Beach FL 32962-4312
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN22364 | Florida |
| Dental Providers / Dentist | 122300000X | DS031205L | Pennsylvania |
Profile Details
| NPI number | 1003012212 |
|---|---|
| LBN Legal business name | Gaponiuk, Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Feb 21st, 2017 - about 7 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 | 1003012212 | NPPES |
| Florida | Other | DN22364 | STATE LICENSE |
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