Ericson, Mark Scott

Ericson, Mark Scott is an sole proprietor health care provider with primary practice located at 1320 Apple Ave Ste 104 , Hayward CA 94541-1552. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ericson, Mark Scott can be contacted via phone (360) 870-9097.

Contact Information

Primary practice address
1320 Apple Ave Ste 104 Hayward CA 94541-1552
Phone: (360) 870-9097
Fax: (510) 582-8147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI02230300 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 23691 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 60084 California

Profile Details

NPI number 1952374761
LBN Legal business name Ericson, Mark Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Apr 4th, 2012 - about 14 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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