Pigno, Mark A

Pigno, Mark A is an sole proprietor health care provider with primary practice located at 3510 Fannin Street , Beaumont TX 77701. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Prosthodontics is his primary health care specialty. Pigno, Mark A can be contacted via phone (409) 835-5300.

Contact Information

Primary practice address
3510 Fannin Street Beaumont TX 77701
Phone: (409) 835-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 18252 Texas
Dental Providers / Prosthodontics 1223P0700X 4443 Louisiana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 18252 Texas

Profile Details

NPI number 1407941065
LBN Legal business name Pigno, Mark A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Sep 13th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407941065 NPPES
Louisiana MEDICAID 1892955
Louisiana MEDICAID 130543507

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