Dusek, Mark W
Dusek, Mark W is an individual health care provider with primary practice located at 500 Eisenhower Dr , Savannah GA 31406-2608. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Dusek, Mark W can be contacted via phone (912) 355-7022.Contact Information
Primary practice address
500 Eisenhower Dr
Savannah GA 31406-2608
Phone: (912) 355-7022
Fax: (912) 355-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DNO12058 | Georgia |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3838 | South Carolina |
Profile Details
| NPI number | 1003236407 |
|---|---|
| LBN Legal business name | Dusek, Mark W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2014 |
| Last updated | Apr 24th, 2014 - about 11 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 | 1003236407 | NPPES |
| Georgia | Other | 1114017530 | GROUP NPI |
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