Miller, Mark Robert

Miller, Mark Robert is an individual health care provider with primary practice located at 7801 York Rd Suite 307, Towson MD 21204-7446. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miller, Mark Robert can be contacted via phone (410) 823-1751.

Contact Information

Primary practice address
7801 York Rd Suite 307 Towson MD 21204-7446
Phone: (410) 823-1751
Fax: (410) 825-8509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7241 Maryland

Profile Details

NPI number 1730301052
LBN Legal business name Miller, Mark Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730301052 NPPES
Maryland Other 2110798 MAMSI
Maryland Other 4642 MAMSI
Maryland Other 653204 MAMSI

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