Hatala, Mark P

Hatala, Mark P is an individual health care provider with primary practice located at 165 Riverside Drive , Johnson City NY 13790. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hatala, Mark P can be contacted via phone (607) 644-9100.

Contact Information

Primary practice address
165 Riverside Drive Johnson City NY 13790
Phone: (607) 644-9100
Fax: (607) 644-9113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 041662 New York

Profile Details

NPI number 1669559159
LBN Legal business name Hatala, Mark P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 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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