Martindale, Mark
Martindale, Mark is an individual health care provider with primary practice located at 1528 Lucky St , Griffin GA 30223-1176. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Martindale, Mark can be contacted via phone (770) 637-5876.Contact Information
Primary practice address
1528 Lucky St
Griffin GA 30223-1176
Phone: (770) 637-5876
Fax: (770) 228-5564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN17886 | Florida |
| Dental Providers / Dentist | 122300000X | DN014482 | Georgia |
Profile Details
| NPI number | 1659555811 |
|---|---|
| LBN Legal business name | Martindale, Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2007 |
| Last updated | Dec 28th, 2023 - about last year |
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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