Farris, Mark Steven

Farris, Mark Steven is an individual health care provider with primary practice located at 1103 E Court St , Marion NC 28752-3528. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Farris, Mark Steven can be contacted via phone (828) 659-7323.

Contact Information

Primary practice address
1103 E Court St Marion NC 28752-3528
Phone: (828) 659-7323
Fax: (828) 655-1905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X NC5490 North Carolina
Dental Providers / General Practice 1223G0001X NC5490 North Carolina

Profile Details

NPI number 1588643985
LBN Legal business name Farris, Mark Steven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 29th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588643985 NPPES
North Carolina Other 89013T0 MEDICAID GROUP #
North Carolina Other 031T0 MEDICAID GROUP #
North Carolina Other 90110 MEDICAID GROUP #
North Carolina MEDICAID 8990110 MEDICAID GROUP #

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