Zajkowski, Mark D
Zajkowski, Mark D is an individual health care provider with primary practice located at 20 Long Creek Dr Suite B, South Portland ME 04106-2425. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Zajkowski, Mark D can be contacted via phone (207) 772-4063.Contact Information
Primary practice address
20 Long Creek Dr Suite B
South Portland ME 04106-2425
Phone: (207) 772-4063
Fax: (207) 772-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3563 | Maine |
Profile Details
| NPI number | 1366432189 |
|---|---|
| LBN Legal business name | Zajkowski, Mark D |
| Credentials | DDS,MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Apr 9th, 2024 - about 7 months 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 | 1366432189 | NPPES |
| Maine | MEDICAID | 316710099 |
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