Jungdahl, Mark

Jungdahl, Mark is an sole proprietor health care provider with primary practice located at 1035 Summitt Sq , Middletown OH 45042-3464. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jungdahl, Mark can be contacted via phone (513) 424-5339.

Contact Information

Primary practice address
1035 Summitt Sq Middletown OH 45042-3464
Fax: (513) 422-1646
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16076 Ohio

Profile Details

NPI number 1851481329
LBN Legal business name Jungdahl, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 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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