Janosky, Mark J

Janosky, Mark J is an sole proprietor health care provider with primary practice located at 4220 Carolina Exchange Drive , Myrtle Beach SC 29579-4220. 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. Janosky, Mark J can be contacted via phone (843) 663-8000.

Contact Information

Primary practice address
4220 Carolina Exchange Drive Myrtle Beach SC 29579-4220
Phone: (843) 663-8000
Fax: (843) 663-8123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7933 North Carolina
Dental Providers / Dentist 122300000X 4418 South Carolina

Profile Details

NPI number 1811943798
LBN Legal business name Janosky, Mark J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Feb 10th, 2020 - about 6 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 1811943798 NPPES
North Carolina Other 9021P BLUECROSS BLUESHIELD
North Carolina MEDICAID 5900834 BLUECROSS BLUESHIELD

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