Martin, Lance P
Martin, Lance P is an individual health care provider with primary practice located at 904 E Highway 50 , O Fallon IL 62269-2813. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, Lance P can be contacted via phone (681) 632-8471.Contact Information
Primary practice address
904 E Highway 50
O Fallon IL 62269-2813
Phone: (681) 632-8471
Fax: (618) 632-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19025240 | Illinois |
Profile Details
| NPI number | 1326215484 |
|---|---|
| LBN Legal business name | Martin, Lance P |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2008 |
| Last updated | May 8th, 2008 - about 16 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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