Mitchell, Mark T

Mitchell, Mark T is an sole proprietor health care provider with primary practice located at 10 Orchard St , Walden NY 12586-1802. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mitchell, Mark T can be contacted via phone (845) 778-1835.

Contact Information

Primary practice address
10 Orchard St Walden NY 12586-1802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 035161 New York

Profile Details

NPI number 1194881177
LBN Legal business name Mitchell, Mark T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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