Granger, Mark Ernest

Granger, Mark Ernest is an individual health care provider with primary practice located at 2525 S Wadsworth Blvd Suite #23, Lakewood CO 80227-3273. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Granger, Mark Ernest can be contacted via phone (303) 985-0909.

Contact Information

Primary practice address
2525 S Wadsworth Blvd Suite #23 Lakewood CO 80227-3273
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 104991 Colorado

Profile Details

NPI number 1164490017
LBN Legal business name Granger, Mark Ernest
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 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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