Gleisner, Mark Richard

Gleisner, Mark Richard is an individual health care provider with primary practice located at 2 Nd Floor Bldg 9900 Attn: Credentials Office, Tacoma WA 98431-0001. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Gleisner, Mark Richard can be contacted via phone (253) 968-4039.

Contact Information

Primary practice address
2 Nd Floor Bldg 9900 Attn: Credentials Office Tacoma WA 98431-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X D10642 Minnesota
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 5388-15 Wisconsin

Profile Details

NPI number 1841252996
LBN Legal business name Gleisner, Mark Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 28th, 2010 - about 16 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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