Anderson, Mark W

Anderson, Mark W is an individual health care provider with primary practice located at 909 N Logan Ave , Danville IL 61832. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Anderson, Mark W can be contacted via phone (217) 446-8696.

Contact Information

Primary practice address
909 N Logan Ave Danville IL 61832
Phone: (217) 446-8696
Fax: (217) 446-1969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Illinois

Profile Details

NPI number 1134192651
LBN Legal business name Anderson, Mark W
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 19 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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