Kampfe, Mark Iriwn

Kampfe, Mark Iriwn is an individual health care provider with primary practice located at 2900 Doolittle Dr Bldg 6000 Rm 1Tb03 Ellsworth Afb, Ellsworth Afb SD 57706-4821. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kampfe, Mark Iriwn can be contacted via phone (605) 385-3560.

Contact Information

Primary practice address
2900 Doolittle Dr Bldg 6000 Rm 1Tb03 Ellsworth Afb Ellsworth Afb SD 57706-4821
Phone: (605) 385-3560
Fax: (605) 385-3498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6481 Iowa
Dental Providers / General Practice 1223G0001X 5399 Nebraska

Profile Details

NPI number 1760485965
LBN Legal business name Kampfe, Mark Iriwn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 5th, 2010 - about 16 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 1760485965 NPPES
Iowa Other 6481 DDS LICENSE NUMBER
Iowa Other 5399 DDS LICENSE NUMBER

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