Humphrey, Mark
Humphrey, Mark is an individual health care provider with primary practice located at 901 Crystal Creek Pkwy , Wentzville MO 63385-3709. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Humphrey, Mark can be contacted via phone (636) 332-5550.Contact Information
Primary practice address
901 Crystal Creek Pkwy
Wentzville MO 63385-3709
Phone: (636) 332-5550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2014016805 | Missouri |
Profile Details
| NPI number | 1023556743 |
|---|---|
| LBN Legal business name | Humphrey, Mark |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2017 |
| Last updated | Aug 28th, 2026 - about 2 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.
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