Goedecke, Mark Anthonie

Goedecke, Mark Anthonie is an sole proprietor health care provider with primary practice located at 709 Long Point Rd Ste B , Mt Pleasant SC 29464-8287. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goedecke, Mark Anthonie can be contacted via phone (843) 971-9594.

Contact Information

Primary practice address
709 Long Point Rd Ste B Mt Pleasant SC 29464-8287
Fax: (843) 971-3034
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3498 South Carolina

Profile Details

NPI number 1710916713
LBN Legal business name Goedecke, Mark Anthonie
Credentials D.M.D., F.A.G.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
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.

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