Taylor, Mark H.
Taylor, Mark H. is an sole proprietor health care provider with primary practice located at 17455 Manderson St. , Omaha NE 68116-1159. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Taylor, Mark H. can be contacted via phone (402) 333-0274.Contact Information
Primary practice address
17455 Manderson St.
Omaha NE 68116-1159
Phone: (402) 333-0274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4396 | Nebraska |
Profile Details
| NPI number | 1447321286 |
|---|---|
| LBN Legal business name | Taylor, Mark H. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jun 24th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447321286 | NPPES |
| Nebraska | MEDICAID | 1223P0221X |
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