Donald, W Mark

Donald, W Mark is an sole proprietor health care provider with primary practice located at 204 N Columbus Ave , Louisville MS 39339-2614. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Donald, W Mark can be contacted via phone (662) 773-8304.

Contact Information

Primary practice address
204 N Columbus Ave Louisville MS 39339-2614
Fax: (663) 779-0667
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 240588 Mississippi

Profile Details

NPI number 1811105984
LBN Legal business name Donald, W Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2007
Last updated Jul 8th, 2007 - about 15 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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