Miller, Mark T.

Miller, Mark T. is an sole proprietor health care provider with primary practice located at 307 N 300 W Ste 304 , Kaysville UT 84037-1852. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miller, Mark T. can be contacted via phone (801) 544-4003.

Contact Information

Primary practice address
307 N 300 W Ste 304 Kaysville UT 84037-1852
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 99-375792-9921 Utah

Profile Details

NPI number 1427209329
LBN Legal business name Miller, Mark T.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2008
Last updated Oct 3rd, 2012 - about 13 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 1427209329 NPPES
Minnesota Other 870623840-00001 DELTA DENTAL

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