Grosko, Mark L

Grosko, Mark L is an sole proprietor health care provider with primary practice located at 843 N 21St St Suite 103, Newark OH 43055-7273. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Grosko, Mark L can be contacted via phone (740) 344-6349.

Contact Information

Primary practice address
843 N 21St St Suite 103 Newark OH 43055-7273
Fax: (740) 344-6350
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 21555 Ohio

Profile Details

NPI number 1265614861
LBN Legal business name Grosko, Mark L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2007
Last updated Sep 27th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265614861 NPPES
Ohio Other 440265 SUPERIOR DENTAL
Ohio MEDICAID 2424693 SUPERIOR DENTAL
Ohio Other 256022 SUPERIOR DENTAL
Ohio Other 9185647 SUPERIOR DENTAL
Ohio Other 1400162 SUPERIOR DENTAL
Ohio Other 187028 SUPERIOR DENTAL
Ohio Other 25 1901759027 SUPERIOR DENTAL

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