Mackie, Robert Thad

Mackie, Robert Thad is an sole proprietor health care provider with primary practice located at 12396 Warwick Blvd , Newport News VA 23606-3861. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mackie, Robert Thad can be contacted via phone (757) 596-7344.

Contact Information

Primary practice address
12396 Warwick Blvd Newport News VA 23606-3861
Fax: (757) 596-7344
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3979 Virginia

Profile Details

NPI number 1124168737
LBN Legal business name Mackie, Robert Thad
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 24th, 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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