Harris, Mark Lee
Harris, Mark Lee is an sole proprietor health care provider with primary practice located at 340 Magnolia Cir , Tyndall Afb FL 32403-5604. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Harris, Mark Lee can be contacted via phone (502) 837-4448.Contact Information
Primary practice address
340 Magnolia Cir
Tyndall Afb FL 32403-5604
Phone: (502) 837-4448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | STUDENT | Maryland |
| Dental Providers / Dentist | 122300000X | 0401417042 | Virginia |
Profile Details
| NPI number | 1780203174 |
|---|---|
| LBN Legal business name | Harris, Mark Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2020 |
| Last updated | Sep 23rd, 2021 - about 4 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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