Roberts, Mark Austin
Roberts, Mark Austin is an sole proprietor health care provider with primary practice located at 210 Crestway St Suite 106, Athens TX 75751-2135. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roberts, Mark Austin can be contacted via phone (903) 675-2122.Contact Information
Primary practice address
210 Crestway St Suite 106
Athens TX 75751-2135
Phone: (903) 675-2122
Fax: (903) 675-2154
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 18703 | Texas |
Profile Details
NPI number | 1922021435 |
---|---|
LBN Legal business name | Roberts, Mark Austin |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 25th, 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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