Worford, Mark A

Worford, Mark A is an individual health care provider with primary practice located at 3550 Warrensville Center Rd 104N, Shaker Heights OH 44122-5280. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Worford, Mark A can be contacted via phone (216) 921-7700.

Contact Information

Primary practice address
3550 Warrensville Center Rd 104N Shaker Heights OH 44122-5280
Phone: (216) 921-7700
Fax: (216) 921-6898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-01-6511 Ohio

Profile Details

NPI number 1235120395
LBN Legal business name Worford, Mark A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235120395 NPPES
Ohio Other 017134 DORAL
Ohio MEDICAID 0432713 DORAL
Ohio Other 788728 DORAL

Popular Providers