Mork, Robert

Mork, Robert is an individual health care provider with primary practice located at 425 7Th St Nw , Cass Lake MN 56633-3360. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mork, Robert can be contacted via phone (218) 335-3200.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake MN 56633-3360
Phone: (218) 335-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 08390 Minnesota

Profile Details

NPI number 1720189467
LBN Legal business name Mork, Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
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 1720189467 NPPES
Minnesota Other 57G79MO BCBS

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