Henline, Mark H
Henline, Mark H is an individual health care provider with primary practice located at 350 Pine St , Rapid City SD 57701-1669. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Henline, Mark H can be contacted via phone (605) 721-8939.Contact Information
Primary practice address
350 Pine St
Rapid City SD 57701-1669
Phone: (605) 721-8939
Fax: (605) 721-8998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30-017513 | Ohio |
| Dental Providers / Dentist | 122300000X | D1267 | South Dakota |
Profile Details
| NPI number | 1730107491 |
|---|---|
| LBN Legal business name | Henline, Mark H |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 4th, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730107491 | NPPES |
| Ohio | MEDICAID | 0542952 |
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