Oliver, John Mark
Oliver, John Mark is an individual health care provider with primary practice located at 2621 New Walkertown Rd , Winston Salem NC 27101-1948. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Oliver, John Mark can be contacted via phone (336) 724-5054.Contact Information
Primary practice address
2621 New Walkertown Rd
Winston Salem NC 27101-1948
Phone: (336) 724-5054
Fax: (336) 724-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7312 | North Carolina |
Profile Details
| NPI number | 1851442073 |
|---|---|
| LBN Legal business name | Oliver, John Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1851442073 | NPPES |
| North Carolina | Other | 90168 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 8990168 | BLUE CROSS BLUE SHIELD |
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