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
Phone: (801) 544-4003
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427209329 | NPPES |
Minnesota | Other | 870623840-00001 | DELTA DENTAL |
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