Keller, Mark Edward
Keller, Mark Edward is an sole proprietor health care provider with primary practice located at 1310 E Dimond Blvd Ste 3 , Anchorage AK 99515-2031. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Keller, Mark Edward can be contacted via phone (907) 336-7337.Contact Information
Primary practice address
1310 E Dimond Blvd Ste 3
Anchorage AK 99515-2031
Phone: (907) 336-7337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D11690 | Minnesota |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 151 | Alaska |
Profile Details
| NPI number | 1588858260 |
|---|---|
| LBN Legal business name | Keller, Mark Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Jul 17th, 2008 - 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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