Kreutner, Mark Henry

Kreutner, Mark Henry is an individual health care provider with primary practice located at 1724 Nebraska Ave Usa Dentac, Bldg 1608, Fort Leonard Wood MO 65473-8939. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kreutner, Mark Henry can be contacted via phone (573) 596-0369.

Contact Information

Primary practice address
1724 Nebraska Ave Usa Dentac, Bldg 1608 Fort Leonard Wood MO 65473-8939
Phone: (573) 596-0369
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 012370 Missouri

Profile Details

NPI number 1245217843
LBN Legal business name Kreutner, Mark Henry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
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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