Eidelman, Mark
Eidelman, Mark is an individual health care provider with primary practice located at 300 Mid Rivers Mall Dr , Saint Peters MO 63376-1565. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eidelman, Mark can be contacted via phone (636) 397-5883.Contact Information
Primary practice address
300 Mid Rivers Mall Dr
Saint Peters MO 63376-1565
Phone: (636) 397-5883
Fax: (636) 397-5887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11785 | Missouri |
Profile Details
| NPI number | 1154468858 |
|---|---|
| LBN Legal business name | Eidelman, Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 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.
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