Harris, Mark Anthony

Harris, Mark Anthony is an individual health care provider with primary practice located at 10590 Enduring Freedom Dr , Fort Drum NY 13602-5503. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Harris, Mark Anthony can be contacted via phone (315) 772-6217.

Contact Information

Primary practice address
10590 Enduring Freedom Dr Fort Drum NY 13602-5503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1316604713
LBN Legal business name Harris, Mark Anthony
Credentials DENTAL ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2021
Last updated Jun 17th, 2022 - about 3 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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