Pernokas, Mark
Pernokas, Mark is an individual health care provider with primary practice located at 8 Cedar Street Suite 65, Woburn MA 01801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pernokas, Mark can be contacted via phone (781) 937-3050.Contact Information
Primary practice address
8 Cedar Street Suite 65
Woburn MA 01801
Phone: (781) 937-3050
Fax: (781) 937-6088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | MA16572 | Massachusetts |
Profile Details
| NPI number | 1538281449 |
|---|---|
| LBN Legal business name | Pernokas, Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| 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 | 1538281449 | NPPES |
| Massachusetts | Other | PEX06174 | BLUE SHIELD |
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