Gentner, Mark A

Gentner, Mark A is an individual health care provider with primary practice located at 5556 Metropolitan Parkway Suite B, Sterling Heights MI 48310. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gentner, Mark A can be contacted via phone (586) 939-5980.

Contact Information

Primary practice address
5556 Metropolitan Parkway Suite B Sterling Heights MI 48310
Phone: (586) 939-5980
Fax: (586) 939-3409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13458 Michigan

Profile Details

NPI number 1386695138
LBN Legal business name Gentner, Mark A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1386695138 NPPES
Michigan Other 432635 UNITED CONCORDIA PROVIDER

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