Oghalai, Mark Alan
Oghalai, Mark Alan is an individual health care provider with primary practice located at 1405 Westgate Center Dr , Winston-Salem NC 27103-2995. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Oghalai, Mark Alan can be contacted via phone (336) 765-5374.Contact Information
Primary practice address
1405 Westgate Center Dr
Winston-Salem NC 27103-2995
Phone: (336) 765-5374
Fax: (336) 760-3066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6854 | North Carolina |
Profile Details
| NPI number | 1467495069 |
|---|---|
| LBN Legal business name | Oghalai, Mark Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467495069 | NPPES |
| North Carolina | MEDICAID | 89902EY | |
| North Carolina | Other | 89902EY |
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