Iocca, Mark Edward

Iocca, Mark Edward is an individual health care provider with primary practice located at 2000 Spring Arbor Rd Ste A, Jackson MI 49203-2636. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Iocca, Mark Edward can be contacted via phone (517) 787-5210.

Contact Information

Primary practice address
2000 Spring Arbor Rd Ste A Jackson MI 49203-2636
Phone: (517) 787-5210
Fax: (517) 787-9223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10683 Michigan

Profile Details

NPI number 1326028127
LBN Legal business name Iocca, Mark Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 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 1326028127 NPPES
Michigan Other 1953813340 MEDICAL PROVIDER

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