George, Mark S.

George, Mark S. is an individual health care provider with primary practice located at 6 North St 1, Barre VT 05641-3810. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. George, Mark S. can be contacted via phone (802) 476-4812.

Contact Information

Primary practice address
6 North St 1 Barre VT 05641-3810
Phone: (802) 476-4812
Fax: (802) 475-0525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 792 Vermont

Profile Details

NPI number 1609815109
LBN Legal business name George, Mark S.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 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 1609815109 NPPES
Vermont MEDICAID 1002191

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