Oblad, Mark Richard
Oblad, Mark Richard is an individual health care provider with primary practice located at 14155 N 83Rd Ave Ste 141 , Peoria AZ 85381-5652. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Oblad, Mark Richard can be contacted via phone (623) 878-1000.Contact Information
Primary practice address
14155 N 83Rd Ave Ste 141
Peoria AZ 85381-5652
Phone: (623) 878-1000
Fax: (623) 878-1024
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 4943072-9921 | Utah |
Dental Providers / Endodontics | 1223E0200X | 7744 | Arizona |
Profile Details
NPI number | 1497725162 |
---|---|
LBN Legal business name | Oblad, Mark Richard |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Feb 4th, 2015 - about 10 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 | 1497725162 | NPPES |
Arizona | MEDICAID | 445670 |
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