Waggoner, Mark Bennett
Waggoner, Mark Bennett is an sole proprietor health care provider with primary practice located at 3104 Harvard Ct , Plano TX 75093-3450. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist Anesthesiologist. Dental Providers / General Practice is his primary health care specialty. Waggoner, Mark Bennett can be contacted via phone (972) 333-6204.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13820 | Texas |
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 13820 | Texas |
Profile Details
| NPI number | 1720107717 |
|---|---|
| LBN Legal business name | Waggoner, Mark Bennett |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Oct 23rd, 2014 - about 10 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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