Greene, Mark J

Greene, Mark J is an individual health care provider with primary practice located at 10 W Hunt Ave , Flagstaff AZ 86001-3018. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Greene, Mark J can be contacted via phone (928) 774-1481.

Contact Information

Primary practice address
10 W Hunt Ave Flagstaff AZ 86001-3018
Phone: (928) 774-1481
Fax: (928) 214-9388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5855 Arizona

Profile Details

NPI number 1841416757
LBN Legal business name Greene, Mark J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 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.

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