Pefley, Mark Randall

Pefley, Mark Randall is an individual health care provider with primary practice located at 1736 Broadway St , Anderson IN 46012-2447. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pefley, Mark Randall can be contacted via phone (765) 642-3588.

Contact Information

Primary practice address
1736 Broadway St Anderson IN 46012-2447
Fax: (765) 649-1226
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1200-9056 Indiana

Profile Details

NPI number 1194804773
LBN Legal business name Pefley, Mark Randall
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 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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