Phillip, Jeffrey Mark

Phillip, Jeffrey Mark is an sole proprietor health care provider with primary practice located at 22442 64Th Ave Suite B, Oakland Gardens NY 11364-2327. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Phillip, Jeffrey Mark can be contacted via phone (718) 225-3103.

Contact Information

Primary practice address
22442 64Th Ave Suite B Oakland Gardens NY 11364-2327
Phone: (718) 225-3103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 037845 New York

Profile Details

NPI number 1316197007
LBN Legal business name Phillip, Jeffrey Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - 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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