Mack, Michael John
Mack, Michael John is an sole proprietor health care provider with primary practice located at 40 E. Putnam Ave. , Cos Cob CT 06807. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mack, Michael John can be contacted via phone (203) 661-2279.Contact Information
Primary practice address
40 E. Putnam Ave.
Cos Cob CT 06807
Phone: (203) 661-2279
Fax: (203) 869-2261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 005247 | Connecticut |
Profile Details
| NPI number | 1508952375 |
|---|---|
| LBN Legal business name | Mack, Michael John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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