Warner, Mark David
Warner, Mark David is an individual health care provider with primary practice located at 7270 S 13Th St , Oak Creek WI 53154-1800. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Warner, Mark David can be contacted via phone (414) 571-6387.Contact Information
Primary practice address
7270 S 13Th St
Oak Creek WI 53154-1800
Phone: (414) 571-6387
Fax: (414) 571-6389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5541-015 | Wisconsin |
| Dental Providers / General Practice | 1223G0001X | 3333 | New Hampshire |
Profile Details
| NPI number | 1700897758 |
|---|---|
| LBN Legal business name | Warner, Mark David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700897758 | NPPES |
| Wisconsin | MEDICAID | 33785800 |
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