Moore, Mark Timothy
Moore, Mark Timothy is an sole proprietor health care provider with primary practice located at 806 W Main St , Jamestown NC 27282-9508. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Moore, Mark Timothy can be contacted via phone (336) 454-1192.Contact Information
Primary practice address
806 W Main St
Jamestown NC 27282-9508
Phone: (336) 454-1192
Fax: (336) 454-1193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5616 | North Carolina |
Profile Details
| NPI number | 1861628745 |
|---|---|
| LBN Legal business name | Moore, Mark Timothy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2009 |
| Last updated | Jun 5th, 2009 - about 16 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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