Willen, David Mark

Willen, David Mark is an sole proprietor health care provider with primary practice located at 2775 Bishop Rd Suite C, Wickliffe OH 44092-2683. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Willen, David Mark can be contacted via phone (440) 944-7775.

Contact Information

Primary practice address
2775 Bishop Rd Suite C Wickliffe OH 44092-2683
Phone: (440) 944-7775
Fax: (440) 944-7887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 014345 Ohio
Dental Providers / Dentist 122300000X 30014345 Ohio

Profile Details

NPI number 1467513606
LBN Legal business name Willen, David Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Sep 21st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467513606 NPPES
Other 34-1910479 TAX ID

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