Guevarra, Mark Jason
Guevarra, Mark Jason is an individual health care provider with primary practice located at 7671 Quarterfield Rd Ste 400 , Glen Burnie MD 21061-4981. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Guevarra, Mark Jason can be contacted via phone (410) 713-4075.Contact Information
Primary practice address
7671 Quarterfield Rd Ste 400
Glen Burnie MD 21061-4981
Phone: (410) 713-4075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019.031520 | Illinois |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 18335 | Maryland |
Profile Details
| NPI number | 1063902468 |
|---|---|
| LBN Legal business name | Guevarra, Mark Jason |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2018 |
| Last updated | Mar 11th, 2024 - about 2 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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