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
Fax: (623) 878-1024
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497725162 NPPES
Arizona MEDICAID 445670

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