Dale, John Marcus
Dale, John Marcus is an sole proprietor health care provider with primary practice located at 1318 Davie Ave Ste A , Statesville NC 28677-3565. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dale, John Marcus can be contacted via phone (704) 871-1413.Contact Information
Primary practice address
1318 Davie Ave Ste A
Statesville NC 28677-3565
Phone: (704) 871-1413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5139 | North Carolina |
Profile Details
| NPI number | 1285739839 |
|---|---|
| LBN Legal business name | Dale, John Marcus |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285739839 | NPPES |
| North Carolina | MEDICAID | 8991983 |
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