Enslow, Marc
Enslow, Marc is an individual health care provider with primary practice located at 1685 W Towne Center Dr Ste A2 , South Jordan UT 84095-8697. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Enslow, Marc can be contacted via phone (801) 254-7003.Contact Information
Primary practice address
1685 W Towne Center Dr Ste A2
South Jordan UT 84095-8697
Phone: (801) 254-7003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | 9823057-9922 | Utah |
Profile Details
| NPI number | 1164883104 |
|---|---|
| LBN Legal business name | Enslow, Marc |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2016 |
| Last updated | Apr 11th, 2022 - about 4 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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