Bollaert, Mark D

Bollaert, Mark D is an sole proprietor health care provider with primary practice located at 3001 41St St , Moline IL 61265-7826. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bollaert, Mark D can be contacted via phone (309) 764-1173.

Contact Information

Primary practice address
3001 41St St Moline IL 61265-7826
Phone: (309) 764-1173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19A15530 Illinois

Profile Details

NPI number 1033234851
LBN Legal business name Bollaert, Mark D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
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.

Request for update

Popular Providers