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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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