Roberts, Mark David
Roberts, Mark David is an individual health care provider with primary practice located at 149 Hart St 82D Medical Group/Mark D Roberts, Capt, Usaf, Dc, Sheppard Afb TX 76311-3482. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Roberts, Mark David can be contacted via phone (940) 676-4474.Contact Information
Primary practice address
149 Hart St 82D Medical Group/Mark D Roberts, Capt, Usaf, Dc
Sheppard Afb TX 76311-3482
Phone: (940) 676-4474
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | 7172 | North Carolina |
Dental Providers / Endodontics | 1223E0200X | 5540 | Louisiana |
Profile Details
NPI number | 1528024833 |
---|---|
LBN Legal business name | Roberts, Mark David |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Jan 23rd, 2023 - about last year |
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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