Marks, Derek Thomas

Marks, Derek Thomas is an individual health care provider with primary practice located at 3310 Highway 5 North , Bryant AR 72022. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Marks, Derek Thomas can be contacted via phone (501) 847-7070.

Contact Information

Primary practice address
3310 Highway 5 North Bryant AR 72022
Phone: (501) 847-7070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3619 Arkansas

Profile Details

NPI number 1033318068
LBN Legal business name Marks, Derek Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Mar 3rd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033318068 NPPES
Arkansas MEDICAID 164860608

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